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Individual

JONATHAN D. DURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, LMHC

Contact information

Practice address
1075 LIGHT BLVD, FOREST, VA 24551-5094
(434) 384-1594
(434) 384-3228
Mailing address
1075 LIGHT BLVD, FOREST, VA 24551-5094

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
231125
101YM0800X
Mental Health Counselor
Primary
004235
NY
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
C 0500011
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6289140
UNITED BEHAVIORAL HEALTH
OH
Enumeration date
03/06/2007
Last updated
03/11/2026
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