About
Jonathan Distaulo is a Professional Counselor in Springfield, Missouri. He has over 6 years of experience. Contact Jonathan Distaulo to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Not Sole Proprietor
Gender
Male
Years in Practice
6 years
Healthcare Provider Taxonomy
- Code: 101YP2500X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Professional
Credentials
- Provisional Licensed Professional Counselor (PLPC)
Licenses
| Name | License Number | State |
|---|---|---|
| PLPC | 2017041286 Verify | MO |
Practice Locations
3101C S Kimbrough Ave
Springfield, MO 65807-5011
Phone Number: (417) 866-7773
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