Jonathan Zucker, Lcsw
Social Worker, Clinical in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1982184644
StatusActive
Last updated in NPPESAug 21, 2018
Details
- NPI
- 1982184644
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Zucker
- Credential
- Lcsw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2018
- Last updated
- Aug 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | Lcsw-28419 | ID | Yes |
Practice location
1105 W Ironwood DrCoeur D Alene, ID 83814-2613
Phone 208-676-1003
Mailing address
1105 W Ironwood DrCoeur D Alene, ID 83814-2613
Phone 208-676-1003
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