person
Jonathan Basla, LMHC
Mental Health Counselor in New York, New York
NPI 1912783010

Jonathan Basla is a Mental Health Counselor based in North Syracuse, NY and is specialized in Mental Health. Jonathan Basla practices in New York, NY and has the professional credentials of LMHC. The NPI Number for Jonathan Basla is 1912783010 and holds a License No. 013837 (New York).

The current practice location address for Jonathan Basla is 19 W 34Th St Ph, New York, NY and can be reached out via phone at 929-352-5695.

Location: 19 W 34Th St Ph, New York, NY, 13212-4229
person
Provider Profile Details
NPI Number
1912783010
Provider Name
Jonathan Basla
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
19 W 34Th St Ph, New York, NY, 13212-4229
Phone Number
929-352-5695
Fax Number
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 W 34Th St Ph
City
State
Zip
10001-3006
Phone Number
929-352-5695
Fax Number
person
Provider Business Mailing Address Details
Address
19 W 34Th St Ph
City
State
Zip
10001-3006
Phone Number
929-352-5695
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
013837 (New York)
Definition
Definition to come...
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