Individual
MR. JON B CLECKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
224 E WILLAMETTE AVE, COLORADO SPRINGS, CO 80903-1114
(719) 466-9640
Mailing address
409 VALLEY WAY, COLORADO SPRINGS, CO 80906-3229
(719) 466-9640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CO
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-5587
CO
106H00000X
Marriage & Family Therapist
—
CO
Other
Enumeration date
03/21/2007
Last updated
04/07/2010
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