JONATHAN R WILLOUGHBY

ALBUQUERQUE, NM
NPI1013433051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  C-10912)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NM  C-10912)
Enumeration Date2017-08-22
Last Update Date2024-11-29
Business Address
JONATHAN R WILLOUGHBY LCSW
2900 LOUISIANA BLVD NE STE H
ALBUQUERQUE, NM 87110-3565
Phone number: 505-459-1260
Mailing Address
JONATHAN R WILLOUGHBY LCSW
1800 GEORGIA ST NE
ALBUQUERQUE, NM 87110-5903
Phone number: 505-459-1260