MEDICARE: JONAH E NAGHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457977506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONAH E NAGHI

Provider Business Mailing Address
First Line	:	659 BEACON ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-2003
Country	:	US
Telephone Number	:	617-777-9961
Fax Number	:

Provider Business Practice Location Address
First Line	:	659 BEACON ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-2003
Country	:	US
Telephone Number	:	617-777-9961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2020
Last Update Date	:	06/24/2020

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Directions to “ JONAH E NAGHI ” Practice Location

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