Provider Demographics
NPI:1881613164
Name:JONAS, HAROLD MARK (PHD, LMHC, CAP)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:MARK
Last Name:JONAS
Suffix:
Gender:M
Credentials:PHD, LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5514
Mailing Address - Country:US
Mailing Address - Phone:561-243-0407
Mailing Address - Fax:561-243-0030
Practice Address - Street 1:297 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5514
Practice Address - Country:US
Practice Address - Phone:561-243-0407
Practice Address - Fax:561-243-0030
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11588793Medicare UPIN