Individual
JONATHAN S MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-8001
Mailing address
100 VINCENT ST S, PIERZ, MN 56364-4125
(715) 501-4298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3706 125
WI
101YP2500X
Professional Counselor
Primary
CC02907
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41002300
—
WI
01
—
HP75214
HEALTH PARTNERS INSURANCE
WI
Enumeration date
04/11/2007
Last updated
09/27/2023
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