Provider Demographics
NPI:1205548542
Name:PAWSON, JONATHAN VAUGHN (LMHC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:VAUGHN
Last Name:PAWSON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7683 DEER FOOT DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-5004
Mailing Address - Country:US
Mailing Address - Phone:541-788-0079
Mailing Address - Fax:
Practice Address - Street 1:7683 DEER FOOT DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-5004
Practice Address - Country:US
Practice Address - Phone:541-788-0079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20750101YM0800X
FLMH22027101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health