Jonathan Shacklett, MA, LPC, CAADC

NPI #1750782561 in Mount Joy, Pennsylvania

Provider Information

NPI Number: 1750782561
Entity Type: Individual
Name: Jonathan Shacklett, MA, LPC, CAADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA, LPC, CAADC
Enumeration Date: Sep 11, 2014
Last Updated: Sep 11, 2014

Practice Location

Address: 410 S ANGLE ST
City: Mount Joy
State: Pennsylvania
ZIP Code: 17552-2031
Phone: (717) 653-1507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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