Individual
JASON L LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 SCIENCE DR STE 300, MADISON, WI 53711-1064
(608) 236-4460
(608) 236-4461
Mailing address
587 GAIL CT, OREGON, WI 53575-1209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8245-125
WI
Other
Enumeration date
01/28/2019
Last updated
01/25/2025
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