Provider Demographics
NPI:1669485249
Name:AARONSON, JON (LPC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:
Last Name:AARONSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 N CARROLL ST STE 702
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-2728
Mailing Address - Country:US
Mailing Address - Phone:608-443-0700
Mailing Address - Fax:608-443-0701
Practice Address - Street 1:16 N CARROLL ST STE 702
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-2728
Practice Address - Country:US
Practice Address - Phone:608-443-0700
Practice Address - Fax:608-443-0701
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1366-125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39207300Medicaid