Organization
EFFECTIVE INTERPERSONAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MICHAEL CLARK LPC, NCC (OWNER)
(215) 698-1978
Entity
Organization
Contact information
Practice address
1522B GREGG ST, PHILADELPHIA, PA 19115-4283
(215) 698-1978
Mailing address
1522B GREGG ST, PHILADELPHIA, PA 19115-4283
(215) 698-1978
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6339902
PA
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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