Lebolt, Jonathan

Lebolt, Jonathan is an sole proprietor health care provider with primary practice located at 38 Cerone Ct , West Orange NJ 07052-4113. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lebolt, Jonathan can be contacted via phone (973) 524-4917.

Contact Information

Primary practice address
38 Cerone Ct West Orange NJ 07052-4113
Phone: (973) 524-4917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20618 Maryland

Profile Details

NPI number 1639125446
LBN Legal business name Lebolt, Jonathan
Credentials PHD, LCSW, CGP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Dec 14th, 2022 - about 3 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.

Request for update

Popular Providers