Individual
MR. JONATHAN ELIAS SAN JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHSP
Contact information
Practice address
1420 WILLOW PASS RD, SUITE 200, CONCORD, CA 94520-5223
(925) 646-5868
Mailing address
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553-4189
(925) 957-5207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
02/21/2024
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