Doctor Name: | JONATHAN PETER LEVIN |
NPI Number: | 1033269634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 4352 |
Business Practice Address: | 55 Federal St Greenfield, MA - 013012546 |
Business Phone Number: | 4137722935 |
Business Fax Number: | |
Mailing Address: | 17 Perkins Ave, Apt 2 NORTHAMPTON |
State: | MA |
Postal Code: | 010602222 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4352 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |