| NPI | 1215123682 |
|---|---|
| Other Name | JENNIFER L. DESJARDINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5168) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-11-13 |