Individual
JONATHON JAGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 585-0872
Mailing address
2009 LEAD AVE SE, ALBUQUERQUE, NM 87106-4038
(414) 520-4058
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NM
Other
Enumeration date
10/07/2021
Last updated
10/13/2021
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