Jonathan Altamirano
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Dunmore, PA
NPI 1124896394 · NPPES record last updated Dec 18, 2023
Key facts
- NPI
- 1124896394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 118 Monahan Ave
Dunmore, PA 18512-1700 - Phone
- (570) 241-0359
- NPI assigned
- Dec 18, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
118 Monahan Ave
Dunmore, PA 18512-1700
Mailing address
118 Monahan Ave
Dunmore, PA 18512-1700
Other providers in Dunmore, PA
- Sonja Allardyce
- Julie Allegrucci
- Allergy and Asthma Center of Excellence
- Michael Alocci
- Alpha-Medicor, LLC
- American Homecare Supply Co
- Archangel Adult Daycare Services, LLC
- Michael Joseph Aronica
- Jonaid Aslam
- Rouget Atkinson
All providers in Dunmore, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.