Provider Demographics
NPI:1386071827
Name:GEE, JONATHAN BENTLEY (LMFT)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:BENTLEY
Last Name:GEE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 SUNNYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3362
Mailing Address - Country:US
Mailing Address - Phone:805-321-8569
Mailing Address - Fax:
Practice Address - Street 1:1145 E CLARK AVE STE K
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5173
Practice Address - Country:US
Practice Address - Phone:805-321-8569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA116938101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor