Provider Demographics
NPI:1023993409
Name:SLUSHER, JONATHAN ADAM
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ADAM
Last Name:SLUSHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:HALF MOON BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94019-5314
Mailing Address - Country:US
Mailing Address - Phone:650-297-3400
Mailing Address - Fax:
Practice Address - Street 1:131 KELLY AVE
Practice Address - Street 2:
Practice Address - City:HALF MOON BAY
Practice Address - State:CA
Practice Address - Zip Code:94019-1629
Practice Address - Country:US
Practice Address - Phone:650-297-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT156938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist