MEDICARE: JONATHAN STIGLICH LMFT

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	106H00000X	Marriage & Family Therapist	4098	FL

General Provider Information

NPI Number	:	1992470454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN STIGLICH LMFT

Provider Business Mailing Address
First Line	:	5728 NW 101ST WAY
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2591
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3586 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-1645
Country	:	US
Telephone Number	:	954-663-6808
Fax Number	:

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

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	08/16/2021

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Directions to “ JONATHAN STIGLICH LMFT” Practice Location

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