Individual
MR. JOHNATHAN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11027
NC
101YM0800X
Mental Health Counselor
519
HI
101YP2500X
Professional Counselor
3090
TN
Other
Enumeration date
12/11/2013
Last updated
01/08/2025
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