London, Jonathan Everett

London, Jonathan Everett is an individual health care provider with primary practice located at 921 14Th Ave , Longview WA 98632-2316. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. London, Jonathan Everett can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
921 14Th Ave Longview WA 98632-2316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60167235 Washington

Profile Details

NPI number 1508927120
LBN Legal business name London, Jonathan Everett
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Feb 5th, 2019 - about 6 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

Identifiers

StateTypeNumberIssuer
All States NPI 1508927120 NPPES
Washington MEDICAID 2098147

Popular Providers