Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 30027 | CA |
Y | 101YM0800X | Mental Health Counselor | 76736 | CA |
N | 225400000X | Rehabilitation Practitioner |
NPI | 1003111337 |
---|---|
Provider Name | Jonathan Morin |
First Address | Santa Ana, CA 92701-5017 |
Second Address | Santa Ana, CA 92701-5017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2011 |
Last Update Date | 09/01/2019 |