Jonathan Edward Smith
Jonathan Edward Smith is a Mental Health Counselor in Crestview, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
721 Ashley DrCrestview, FL 32536-9231
Phone: (850) 752-0448
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence IMH22861 (FL) |
|---|
Record details
| NPI number | 1861179822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 30, 2023 |
| Last updated in NPPES | June 30, 2023 |
| Certification date | June 30, 2023 |
| Mailing address | 1014 Everglade Dr, Niceville, FL 32578-3515 |
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