Individual provider · Type 1 NPI
Clarence B. Iszard Jr., MS
Counselor · Philadelphia, PA
NPI number
1174754618
Active
Practice location
3246 North Bailey Street
Philadelphia, PA 19129
Mailing address
3246 N Bailey St
Philadelphia, PA 19129-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1174754618
Clarence B. Iszard Jr., MS's National Provider Identifier is 1174754618, issued on Jul 31, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 31, 2009.