Provider Demographics
NPI:1417202524
Name:MARDEN, JENNIFER A (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:MARDEN
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:MERCER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5701 CATHEDRAL DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2868
Mailing Address - Country:US
Mailing Address - Phone:989-295-6766
Mailing Address - Fax:989-781-5422
Practice Address - Street 1:3400 S WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-4958
Practice Address - Country:US
Practice Address - Phone:989-755-1072
Practice Address - Fax:989-755-1401
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)