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Individual

MR. JASON R MAGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
110 BAKER ST STE C, WAUNAKEE, WI 53597-2707
(608) 849-5430
(858) 225-7950
Mailing address
110 BAKER ST STE C, WAUNAKEE, WI 53597-2707
(608) 849-5430
(858) 225-7950

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178005211
IL
101YP2500X
Professional Counselor
Primary
7136
WI
101YP2500X
Professional Counselor

Other

Enumeration date
11/15/2012
Last updated
03/24/2022
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