Provider Demographics
NPI:1942659503
Name:SCHWAB, JONATHAN H (LMFT)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:H
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 OAKLAND BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4395
Mailing Address - Country:US
Mailing Address - Phone:925-323-1685
Mailing Address - Fax:
Practice Address - Street 1:70 WINGFIELD WAY
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2823
Practice Address - Country:US
Practice Address - Phone:925-323-1685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist