Provider Demographics
NPI:1821370131
Name:MORGAN, JONATHAN DAVID (LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:DAVID
Last Name:MORGAN
Suffix:
Gender:M
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 BROAD ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37408-3084
Mailing Address - Country:US
Mailing Address - Phone:423-521-8020
Mailing Address - Fax:423-521-8021
Practice Address - Street 1:3085 BROAD ST
Practice Address - Street 2:SUITE F
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37408-3084
Practice Address - Country:US
Practice Address - Phone:423-521-8020
Practice Address - Fax:423-521-8021
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional