Individual provider · Type 1 NPI

Jonathan Edward Smith

Mental Health Counselor · Crestview, FL

NPI number 1861179822 Active

Practice location

721 Ashley Dr
Crestview, FL 32536-9231

Call (850) 752-0448 Map

Mailing address

1014 Everglade Dr
Niceville, FL 32578-3515

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH22861 (FL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1861179822

Jonathan Edward Smith's National Provider Identifier is 1861179822, issued on Jun 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crestview, FL. The record was last updated on Jun 30, 2023.