JONATHAN MICHAEL CLARK MA MS LPC NBCC NPI 1831563105

NPI Information

NPI: 1831563105
Provider Name: JONATHAN MICHAEL CLARK, MA, MS, LPC, NBCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1522B GREGG ST
PHILADELPHIA, PA
ZIP 19115
Phone: (215) 698-1978
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Jonathan Michael Clark, MA, MS, LPC, NBCC is a professional counselor in Philadelphia, PA. Jonathan Michael Clark, MA, MS, LPC, NBCC NPI is 1831563105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1522B GREGG ST
PHILADELPHIA, PA
ZIP 19115-283
Phone: (215) 698-1978

The enumeration date for this NPI number is 11/23/2015 and was last updated on 11/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	9350568	PENNSYLVANIA	No
2	101YP2500X	Counselor	Professional	PC008486	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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