Mr. Jonathan R Boland
Clinical Social Worker
Naval Consolidated Brig Miramar 46141 Miramar Way
San Diego
, California 92126
Mr. Jonathan R Boland
Clinical Social Worker
Naval Consolidated Brig Miramar 46141 Miramar Way
San Diego
, California 92126
(858) 307-7184
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Jonathan R Boland
- Naval Consolidated Brig Miramar 46141 Miramar Way
- San Diego, CA
- Zip : 92126
- Phone : (858) 307-7184
Second Address
- Mr. Jonathan R Boland
- Naval Consolidated Brig Miramar 46141 Miramar Way
- San Diego, CA
- Zip : 92126
- Phone : (619) 846-3381
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 75787 | CA |
National Provider Identifier
| NPI | 1003242793 |
|---|---|
| Provider Name | Mr. Jonathan R Boland |
| First Address | San Diego, CA 92126 |
| Second Address | San Diego, CA 92126 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2013 |
| Last Update Date | 18/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.