| Doctor Name: | JONATHAN V COLNAGHI |
| NPI Number: | 1104268762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | IMH8939 |
| Business Practice Address: | 4700 N State Road 7 Lauderdale Lakes, FL - 333195800 |
| Business Phone Number: | 9547354530 |
| Business Fax Number: | 9544973857 |
| Mailing Address: | 4740 N State Road 7, 201 LAUDERDALE LAKES |
| State: | FL |
| Postal Code: | 333195839 |
| Phone Number: | 9544864005 |
| Fax Number: | 9544973857 |
| NPI Enumeration Date: | 07/24/2013 |
| NPI Last Update Date: | 07/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH8939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |