EDWARD JONATHANS

SAN JOSE, CA
NPI1598120867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-30
Last Update Date2015-12-30
Business Address
-- EDWARD JONATHANS
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119-1314
Phone number: 408-281-0708
Mailing Address
-- EDWARD JONATHANS
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119
Phone number: 408-281-0708