Individual
JONATHAN DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
3408 NILES RD, SAINT JOSEPH, MI 49085-8628
(269) 429-3324
Mailing address
2580 FLINT CT BLDG 5, SOUTH BEND, IN 46628-3613
(301) 944-4591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013838
MI
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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