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Individual
JONAS FENTON
Active
Individual
JONAS FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
NULL
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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