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Provider Information for 1881613164


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Dr. HAROLD MARK JONAS PhD, LMHC, CAP


Sex: Male

NPI: 1881613164
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1881613164
Enumeration Date2006-07-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 297 NE 6TH AVE
DELRAY BEACH, FL 33483-5514
United States

Phone: 561-243-0407 | Fax:561-243-0030
 
Primary Practice Address 297 NE 6TH AVE
DELRAY BEACH, FL 33483-5514
United States

Phone: 561-243-0407 | Fax:561-243-0030
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH 4059