Individual
JONATHAN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
52188 VAN DYKE AVE STE 300, SHELBY TOWNSHIP, MI 48316-3575
(586) 244-8211
Mailing address
52188 VAN DYKE AVE STE 300, SHELBY TWP, MI 48316-3575
(586) 244-8211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017641
MI
Other
Enumeration date
12/21/2015
Last updated
10/08/2022
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