Individual
MR. JASON MARTIN LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
808 MAIN ST E, MENOMONIE, WI 54751-2735
(715) 232-1116
(715) 232-5987
Mailing address
4314 TWEED DR, EAU CLAIRE, WI 54703-6302
(715) 577-6390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9350-120
WI
171M00000X
Case Manager/Care Coordinator
Primary
9350-120
WI
Other
Enumeration date
03/16/2007
Last updated
08/25/2009
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