Holly Jane Gardenier in Fox Point - Addiction (substance Use Disorder)

Holly Jane Gardenier - NPI 1669506846

Holly Jane Gardenier is a Addiction (substance Use Disorder) in Fox Point, Wisconsin. Holly Jane Gardenier practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Holly Jane Gardenier is 1669506846. The last update date is 2010-09-27.

Holly Jane Gardenier's current location address is 221 E Clovernook Ln, Fox Point, Wisconsin. You can contact this provider via phone number 4148818097 and fax number 2623751071. The mailing address for Holly Jane Gardenier is 221 E Clovernook Ln, Fox Point, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly Jane Gardenier
Address 221 E Clovernook Ln, Fox Point, Wisconsin
Phone Number 4148818097
Fax Number 2623751071
Sole Proprietor N
Credentials MS, LPC, C

NPI Number Detail

NPI Number 1669506846
Provider Enumeration Date 2007-03-16
Last Updated Date 2010-09-27

Provider Mailing Address Detail

Address 221 E Clovernook Ln
City Fox Point
State Wisconsin (WI)
Post Code 532174217
Phone Number 4148818097
Fax Number 2623751071

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 15306-132
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42025100 WI --

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FAQs about Holly Jane Gardenier

What is the unique 10-digit identifier code issued to Holly Jane Gardenier by the Centers for Medicare & Medicaid Services?

The Holly Jane Gardenier has been assigned the NPI (National Provider Identifier) 1669506846 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Holly Jane Gardenier's facilities are geographically located?

The facilities of Holly Jane Gardenier are physically situated at the following location: 221 E Clovernook Ln, Fox Point, WI, 532174217.

What is Holly Jane Gardenier's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Holly Jane Gardenier is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

When was the Holly Jane Gardenier's 1669506846 issued?

The Holly Jane Gardenier's 1669506846 was issued on 2007-03-16.

As of what date was the information regarding Holly Jane Gardenier, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Holly Jane Gardenier, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-27.

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