Individual provider · Type 1 NPI
Jonathan Friedman, M.A.
Mental Health Counselor · San Diego, CA
NPI number
1457404113
Active
Practice location
734 10th Ave
San Diego, CA 92101-6502
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Other practice locations
- 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 · (239) 343-6050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | PY12323 (FL) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Psychologist | 103T00000X | PY12323 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1457404113
Jonathan Friedman, M.A.'s National Provider Identifier is 1457404113, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Feb 28, 2025.