Individual ProviderJonathan Joseph DonahueCounselorBehavioral Health & Social Service ProvidersPractice Address0 Governors Ave, Suite 20, Medford, MA 02155-3025(781) 395-3086PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Joseph Donahue does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1033190160Provider TypeIndividualFull NameDonahue, Jonathan JosephTitleMr.CredentialLMHCGenderMaleSole ProprietorNoEnumeration Date11/7/2005Last Updated7/9/2007Contact InformationPractice LocationPractice Address0 Governors Ave, Suite 20, Medford, MA 02155-3025Phone(781) 395-3086Fax(781) 395-3086Mailing LocationMailing Address0 Governors Ave, Suite 20, Medford, MA 02155-3025Phone(781) 395-3086Fax(781) 395-3086Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense3845Massachusetts