Individual
MR. JONATHAN MARK LEDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSPSY, AACJ
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(484) 381-3093
Mailing address
8500 LINDBERGH BLVD, APT. #1814, PHILADELPHIA, PA 19153-1536
(215) 921-6217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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