Basic Information
| Provider Information | |||||||||
| NPI: | 1356855472 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LYNCH | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | AARON | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6588 W OTTAWA AVE | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801284572 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039331393 | ||||||||
| FaxNumber: | 3039338216 | ||||||||
| Practice Location | |||||||||
| Address1: | 6400 W COAL MINE AVE | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801234501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039329599 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2017 | ||||||||
| LastUpdateDate: | 11/28/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CSW.09925138 | CO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.