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Jennifer Marie Hendrickson, PC-IT,SAC-IT
Addiction (Substance Use Disorder) Counselor in Janesville, Wisconsin
NPI 1689935983

Jennifer Marie Hendrickson is an Addiction (Substance Use Disorder) Counselor based in Janesville, WI and is specialized in Addiction (Substance Use Disorder). Jennifer Marie Hendrickson practices in Janesville, WI and has the professional credentials of PC-IT,SAC-IT. The NPI Number for Jennifer Marie Hendrickson is 1689935983 and holds a License No. 1434-226 (Wisconsin).

The current practice location address for Jennifer Marie Hendrickson is 612 N Randall Ave, Janesville, WI and can be reached out via phone at 608-752-7660 and via fax at 608-752-9788.

Location: 612 N Randall Ave, Janesville, WI, 53545-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689935983
Provider Name
Jennifer Marie Hendrickson
Credential
PC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
612 N Randall Ave, Janesville, WI, 53545-1958
Phone Number
608-752-7660
Fax Number
608-752-9788
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1434-226 01 WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
16441-130 01 WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
institution
Provider Business Practice Location Address Details
Address
612 N Randall Ave
City
Janesville
State
Wisconsin
Zip
53545-1958
Phone Number
608-752-7660
Fax Number
608-752-9788
person
Provider Business Mailing Address Details
Address
612 N Randall Ave
City
Janesville
State
Wisconsin
Zip
53545-1958
Phone Number
608-752-7660
Fax Number
608-752-9788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
16441-130 (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.
1434-226 (Wisconsin)
Definition
Definition to come...
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