Doctor Name: | JONATHAN LENT |
NPI Number: | 1275852394 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | C0800142 |
Business Practice Address: | 107 Javit Ct Ste B Austintown, OH - 445152442 |
Business Phone Number: | 3302701400 |
Business Fax Number: | 3302701404 |
Mailing Address: | 107 Javit Ct Ste B, AUSTINTOWN |
State: | OH |
Postal Code: | 445152442 |
Phone Number: | 3302701400 |
Fax Number: | 3302701404 |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C0800142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |