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Contact Information

JEANNETTE T ARIAS FLYNN, MS
100 COUNTY RD B
BEHAVIORAL HEALTH SHAWANO
SHAWANO, WI54166-7072
 Phone: 920-720-2300
 Fax: 920-720-3806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JEANNETTE T ARIAS FLYNN · (Female)

NPI # 1831279694
Status Active
Credentials MS
Entity Individual
Enumeration date 10/16/2006
Last updated 06/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 787-125
  • WI License # 787125
  • WI License # LPC 787-125
  • WI Medicaid 39596000
  • Other 11737276 (CAQH)
  • Other 11737276 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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