Jason E Flanders, M.S., LPC

Individual provider Active NPI Mental Health Counselor · Juneau, WI

NPI 1508068537 · NPPES record last updated Dec 8, 2015

Key facts

NPI
1508068537
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
5427 (WI)
Practice address
199 Home Rd
Juneau, WI 53039-1401
Phone
(920) 386-3498
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5427WIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5427 WI Yes

Addresses

Primary practice location

199 Home Rd
Juneau, WI 53039-1401

Mailing address

855 E Loos St
Unit 2
Hartford, WI 53027-1989
Phone (414) 588-9588

Other providers in Juneau, WI

All providers in Juneau, WI · Mental Health Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.