Individual
JACOB CLINEBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC010455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326173360
—
PA
01
—
PC010455
PENNSYLVANIA STATE LICENSED PROFESSIONAL COUNSELOR LICENSE
PA
Enumeration date
05/29/2014
Last updated
05/29/2024
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