Douglass, Jonathan David

Douglass, Jonathan David is an individual health care provider with primary practice located at 1750 Zion Rd Ste 209 , Northfield NJ 08225-1844. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Douglass, Jonathan David can be contacted via phone (609) 204-6134.

Contact Information

Primary practice address
1750 Zion Rd Ste 209 Northfield NJ 08225-1844
Phone: (609) 204-6134
Fax: (570) 864-3353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37AC00141100 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37AC00141100 New Jersey
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37AC00141100 New Jersey

Profile Details

NPI number 1093059859
LBN Legal business name Douglass, Jonathan David
Credentials MA, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2012
Last updated Nov 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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