Jonathan Edward Smith

NPI #1861179822 in Crestview, Florida

Provider Information

NPI Number
1861179822
Entity Type
Individual
Name
Jonathan Edward Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 30, 2023
Last Updated
Jun 30, 2023

Practice Location

Address
721 ASHLEY DR
State
Florida
ZIP Code
32536-9231
Phone
(850) 752-0448

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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