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Individual

JONATHAN MICHAEL REVELEY-COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
710 MOUNT VERNON AVE STE 1, HUNTINGDON, PA 16652-1274
(814) 506-8651
Mailing address
201 5TH ST STE 203, HUNTINGDON, PA 16652-1549
(814) 251-1696

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC008839
PA
101YM0800X
Mental Health Counselor
PC008839
PA
101YP2500X
Professional Counselor
Primary
PC008839
PA

Other

Enumeration date
05/28/2019
Last updated
02/03/2026
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