Jonathan R Willoughby, LCSW

NPI #1013433051 in Albuquerque, New Mexico

Provider Information

NPI Number: 1013433051
Entity Type: Individual
Name: Jonathan R Willoughby, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Aug 22, 2017
Last Updated: Nov 29, 2024

Practice Location

Address: 2900 LOUISIANA BLVD NE STE H
City: Albuquerque
State: New Mexico
ZIP Code: 87110-3565
Phone: (505) 459-1260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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