Individual
MS. JEANNETTE THERESA ARIAS-FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
100 COUNTY RD B, BEHAVIORAL HEALTH SHAWANO, SHAWANO, WI 54166-7072
(920) 720-2300
(920) 720-3806
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
787125
WI
104100000X
Social Worker
787-125
WI
104100000X
Social Worker
Primary
LPC 787-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11737276
(CAQH)
—
05
—
39596000
—
WI
Enumeration date
10/16/2006
Last updated
06/18/2010
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