Individual
JONATHAN EVERETT MAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(857) 626-4183
Mailing address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(857) 373-9215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
11/28/2022
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