Individual provider · Type 1 NPI

Jonathan Elder

Mental Health Counselor · Davis, CA

NPI number 1386240661 Active

Practice location

508 2nd St Ste 108A
Davis, CA 95616-4664

Call (530) 761-5050 Map

Mailing address

9808 Fair Oaks Blvd Apt 608
Fair Oaks, CA 95628-7052

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed

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About NPI 1386240661

Jonathan Elder's National Provider Identifier is 1386240661, issued on Dec 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Davis, CA. The record was last updated on Jun 24, 2024.