Provider Demographics
NPI:1063915411
Name:KRIS, JONATHAN ERIC (MSW)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ERIC
Last Name:KRIS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 STADIUM PL APT 6
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5253
Mailing Address - Country:US
Mailing Address - Phone:734-772-7037
Mailing Address - Fax:
Practice Address - Street 1:1816 STADIUM PL APT 6
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5253
Practice Address - Country:US
Practice Address - Phone:734-772-7037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical