Jonathan Tanenbaum, LCSW

NPI 1598350811 · on the registry since 2021

Practice

Address: 23 Rybar Ln
Palm Coast, FL 32164
Phone: (386) 227-7552
Organisation at this address: All Therapies Support, Inc
All Therapies Support, Inc
All Therapies Support, Inc
All Therapies Support, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YM0800X
103K00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida