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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN MICHAEL CLARK, MA, MS, LPC, NBCC

Active Sole Proprietor

JONATHAN MICHAEL CLARK, MA, MS, LPC, NBCC is a Professional Counselor healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1831563105 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PHILADELPHIA, PA

Registration Details

NPI Number
1831563105
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2015 (10.75137826606 yrs)
Last Updated
Nov 23, 2015
Licenses
PC008486 (PA)
9350568 (PA)
Sole Proprietor
Yes

Practice Information

Address
1522B GREGG ST
PHILADELPHIA, PA, 191154283
Browse PA providers · Browse ZIP 19115
Phone
2156981978
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
School Counselor

Other Professional Counselor Providers in PHILADELPHIA, PA

Name Credential NPI
MARGARET ADAMUCCI MS, LPC, NCC 1750380994
MS. MELISSA J RESSLER MA 1295721744
MARY LOU SCHWEITZER LPC 1386624955
DR. BRYAN R. HOLLINGER M.D., M.P.H., A.P.C. 1033160833
MS. MARY KATHERINE VANDEGRIFT LPC 1669427746
MS. CYNTHIA JONES LPC 1538108741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.