DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN DAVID RODIS, LPC

Active Sole Proprietor

Mental Health Counselor · GOLD CANYON, AZ

Registration Details

NPI Number
1225702046
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2021 (4.7536166362741 yrs)
Last Updated
Aug 4, 2021
License
LPC-19286 (AZ)
Sole Proprietor
Yes

Practice Information

Address
6768 E SAN CRISTOBAL WAY
GOLD CANYON, AZ, 851181898
Browse AZ providers · Browse ZIP 85118
Phone
6023616888
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in GOLD CANYON, AZ

Name Credential NPI
MR. GEORGE ROSS WEST L.C.S.W. 1578867685
CHRISTIE LEE HEBERT MS, LPC 1366054876
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.