Jonathan Elder
Jonathan Elder is a Mental Health Counselor in Davis, California. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
508 2nd St Ste 108ADavis, CA 95616-4664
Phone: (530) 761-5050
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1386240661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 10, 2020 |
| Last updated in NPPES | June 24, 2024 |
| Certification date | June 24, 2024 |
| Mailing address | 9808 Fair Oaks Blvd Apt 608, Fair Oaks, CA 95628-7052 |
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