Individual
JONATHAN PAUL EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3325 HOLLYWOOD BLVD STE 301, HOLLYWOOD, FL 33021-6926
(954) 925-1113
Mailing address
1009 NE 118TH ST, BISCAYNE PARK, FL 33161-6439
(305) 588-4796
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4627
FL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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