person
Jacob Clinebell, MA
Mental Health Counselor in Wilkes Barre, Pennsylvania
NPI 1841602414

Jacob Clinebell is a Mental Health Counselor based in Wilkes Barre, PA and is specialized in Mental Health. Jacob Clinebell practices in Wilkes Barre, PA and has the professional credentials of MA. The NPI Number for Jacob Clinebell is 1841602414 and holds a License No. PC010455 (Pennsylvania).

The current practice location address for Jacob Clinebell is 1111 E End Blvd, Wilkes Barre, PA and can be reached out via phone at 570-824-3521.

Location: 1111 E End Blvd, Wilkes Barre, PA, 18711-0030
person
Provider Profile Details
NPI Number
1841602414
Provider Name
Jacob Clinebell
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1111 E End Blvd, Wilkes Barre, PA, 18711-0030
Phone Number
570-824-3521
Fax Number
Provider Enumeration Date
05/29/2014
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326173360 05 PA
PC010455 01 PA PENNSYLVANIA STATE LICENSED PROFESSIONAL COUNSELOR LICENSE
institution
Provider Business Practice Location Address Details
Address
1111 E End Blvd
City
State
Zip
18711-0030
Phone Number
570-824-3521
Fax Number
person
Provider Business Mailing Address Details
Address
1111 E End Blvd
City
State
Zip
18711-0030
Phone Number
570-824-3521
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC010455 (Pennsylvania)
Definition
Definition to come...
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