Durst, Jonathan D.
Durst, Jonathan D. is an individual health care provider with primary practice located at 8130 Oswego Rd Suite 1, Liverpool NY 13090-1520. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Durst, Jonathan D. can be contacted via phone (315) 652-0000.Contact Information
Primary practice address
8130 Oswego Rd Suite 1
Liverpool NY 13090-1520
Phone: (315) 652-0000
Fax: (315) 652-2736
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C 0500011 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 004235 | New York |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 231125 |
Profile Details
NPI number | 1215067590 |
---|---|
LBN Legal business name | Durst, Jonathan D. |
Credentials | L.M.H.C., N.C.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Jun 4th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215067590 | NPPES |
Ohio | Other | 6289140 | UNITED BEHAVIORAL HEALTH |
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