Individual
JONATHAN DISTAULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
3101C S KIMBROUGH AVE, SPRINGFIELD, MO 65807-5011
(417) 866-7773
Mailing address
3101C S KIMBROUGH AVE, SPRINGFIELD, MO 65807-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017041286
MO
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us