Individual
JONATHAN COMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
11201 OUTLOOK ST APT 4275, OVERLAND PARK, KS 66211-1989
(951) 230-6651
Mailing address
11201 OUTLOOK ST APT 4275, OVERLAND PARK, KS 66211-1989
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
38002
CA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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