Shacklett, Jonathan

Shacklett, Jonathan is an sole proprietor health care provider with primary practice located at 410 S Angle St , Mount Joy PA 17552-2031. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Shacklett, Jonathan can be contacted via phone (717) 653-1507.

Contact Information

Primary practice address
410 S Angle St Mount Joy PA 17552-2031
Phone: (717) 653-1507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC007789 Pennsylvania

Profile Details

NPI number 1750782561
LBN Legal business name Shacklett, Jonathan
Credentials MA, LPC, CAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2014
Last updated Sep 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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