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Holly Jane Gardenier, MS,LPC,CSAC,ICS
Addiction (Substance Use Disorder) Counselor in Cedarburg, Wisconsin
NPI 1669506846

Holly Jane Gardenier is an Addiction (Substance Use Disorder) Counselor based in Fox Point, WI and is specialized in Addiction (Substance Use Disorder). Holly Jane Gardenier practices in Cedarburg, WI and has the professional credentials of MS,LPC,CSAC,ICS. The NPI Number for Holly Jane Gardenier is 1669506846 and holds a License No. 14743133 (Wisconsin).

The current practice location address for Holly Jane Gardenier is W62N248 Washington Ave, Cedarburg, WI and can be reached out via phone at 414-545-1950 and via fax at 262-375-1071.

Location: W62N248 Washington Ave, Cedarburg, WI, 53217-4217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669506846
Provider Name
Holly Jane Gardenier
Credential
MS,LPC,CSAC,ICS
Provider Entity Type
Individual
Gender
Female
Address
W62N248 Washington Ave, Cedarburg, WI, 53217-4217
Phone Number
414-545-1950
Fax Number
262-375-1071
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42025100 05 WI
institution
Provider Business Practice Location Address Details
Address
W62N248 Washington Ave
City
Cedarburg
State
Wisconsin
Zip
53012-2768
Phone Number
414-545-1950
Fax Number
262-375-1071
person
Provider Business Mailing Address Details
Address
W62N248 Washington Ave
City
Cedarburg
State
Wisconsin
Zip
53012-2768
Phone Number
414-545-1950
Fax Number
262-375-1071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15306-132 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
4187-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
14743133 (Wisconsin)
Definition
Definition to come...
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