Individual
MR. WILLIAM JAY BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2564 BRANCH ST STE B5, MIDDLETON, WI 53562-2850
(608) 492-0069
Mailing address
210 JUNCTION RD APT 209, MADISON, WI 53717-2673
(608) 444-7105
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
908-124
WI
Other
Enumeration date
03/19/2020
Last updated
04/06/2024
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