JONATHAN D FAST (Credential# 782292) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JONATHAN D FAST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.004132. The credential type is licensed clinical social worker. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 9 Princeton Dr, Rancho Mirage, CA 92270-3158. The current status is active.
| Licensee Name | JONATHAN D FAST |
| Credential ID | 782292 |
| Credential Number | 58.004132 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
9 Princeton Dr Rancho Mirage CA 92270-3158 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-08-22 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-01 |
| Street Address | 9 PRINCETON DR |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3158 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judy C Robinson | 35109 Vista Del Aqua, Rancho Mirage, CA 92270 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Robert Lucas Pa | 30 Duke Dr, Rancho Mirage, CA 92270 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Michael D Stone | 126 Mission Hills Drive, Rancho Mirage, CA 92270 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Henry Mason Jones | 121 Waterford Circle, Rancho Mirage, CA 92270 | Physician/surgeon | 2019-10-01 ~ 2020-10-31 |
| Jeffrey M Levine Md | 27 Via Elegante, Rancho Mirage, CA 92270 | Controlled Substance Registration for Practitioner | 2019-08-10 ~ 2021-02-28 |
| Betty Ford Center At Eisenhower | 39000 Bob Hope Drive, Rancho Mirage, CA 92270 | Public Charity-exempt From Financial Requirements | ~ |
| Elaine B Hoder | 71109 Sunny Lane, Rancho Mirage, CA 92270 | Registered Nurse | 2012-11-01 ~ 2013-10-31 |
| Francis J Domzalski | 35102 Vista Del Aqua, Rancho Mirage, CA 92270 | Physician/surgeon | 2009-05-18 ~ 2010-05-31 |
| Roberta Hill · Landi | 1 Cambridge Court, Rancho Mirage, CA 92270 | Registered Nurse | 2001-10-26 ~ 2002-11-30 |
| Gail B Sachs · Callahan | 23 Abby Road, Rancho Mirage, CA 92270-1184 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 92270 | |||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + RANCHO MIRAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane R Schneeweiss · Rosenstein | C/o Fast, Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2004-05-25 ~ 2005-07-31 |
| Jonathan D Bellin | 500 W 235th St, Bronx, NY 10463-1827 | Licensed Clinical Social Worker | ~ |
| Jonathan P Myette | 30 French Rd, Manchester, CT 06042-2852 | Licensed Clinical Social Worker | ~ |
| Jonathan Spears | 166 Elm St, Fairfield, CT 06824-5107 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Jonathan J Wilson | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Jonathan A Nixon | 24 Clear St, Enfield, CT 06082-5153 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Jonathan Geller | 166 Kings Hwy N, Westport, CT 06880-2423 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Jonathan M Spodick | 105 Mckinley Ave, New Haven, CT 06515-2733 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Jonathan D Foote | 146 Kenyon Street, Hartford, CT 06105 | Licensed Clinical Social Worker | 2000-04-20 ~ 2001-06-30 |
| Jonathan R Boland | 4171 Mustang St, San Diego, CA 92111-3411 | Licensed Clinical Social Worker | 2016-04-01 ~ 2017-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).