Provider Demographics
NPI:1609158609
Name:WERGER, JENNIFER SUZAN (MA LMHC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:SUZAN
Last Name:WERGER
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7329 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4644
Mailing Address - Country:US
Mailing Address - Phone:515-971-3977
Mailing Address - Fax:515-263-0048
Practice Address - Street 1:7329 CANTERBURY RD
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-4644
Practice Address - Country:US
Practice Address - Phone:515-971-3977
Practice Address - Fax:515-263-0048
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health