Individual provider · Type 1 NPI

Jennifer L. Bourgard, SAC

Addiction (Substance Use Disorder) Counselor · Ashland, WI

NPI number 1356589501 Active

Practice location

1635 Maple Ln
Ashland, WI 54806-3610

Fax (715) 685-5102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15485-131 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356589501

Jennifer L. Bourgard, SAC's National Provider Identifier is 1356589501, issued on Jan 27, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashland, WI. The record was last updated on Jan 27, 2009.