Search › Pennsylvania › 101YP2500X
Jonathan Shacklett, MA, LPC, CAADC
NPI 1750782561 · on the registry since 2014 · sole proprietor
Practice
- Address
- 410 S Angle St
Mount Joy, PA 17552 - Phone
- (717) 653-1507
- Organisation at this address
- New Life Counseling Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania