MEDICARE: JANE S FLYNN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	66219	TX

General Provider Information

NPI Number	:	1982975496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE S FLYNN LPC

Provider Business Mailing Address
First Line	:	1300 PASAGUARDA DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-7414
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 BEE CAVE RD STE 508
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5401
Country	:	US
Telephone Number	:	512-567-6398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2012
Last Update Date	:	01/16/2012

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