Individual provider · Type 1 NPI

Jonathan Michael Clark, MA, MS, LPC, NBCC

Professional Counselor · Philadelphia, PA

NPI number 1831563105 Active

Practice location

1522B Gregg St
Philadelphia, PA 19115-4283

Call (215) 698-1978 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC008486 (PA)
School Counselor 101YS0200X9350568 (PA)

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About NPI 1831563105

Jonathan Michael Clark, MA, MS, LPC, NBCC's National Provider Identifier is 1831563105, issued on Nov 23, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 23, 2015.