Individual
JONATHAN EURICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCAP
Contact information
Practice address
1302 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4806
(772) 468-6800
Mailing address
1302 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4806
(772) 468-6800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
FL
Enumeration date
09/13/2018
Last updated
11/26/2018
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