Jonathan Distaulo is a Springfield, Missouri based counselor who is specialized as Professional Counselor. Active license number of Jonathan Distaulo is 2017041286 for Professional Counselor in Missouri. His current practice location is 3101c S Kimbrough Ave, Springfield. Patients can book an appointment with him at 417-866-7773.
Jonathan Distaulo is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Jonathan Distaulo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jonathan Distaulo |
| Specialization: | Professional Counselor |
| Gender: | Male |
| Credentials: | PLPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3101c S Kimbrough Ave, Springfield,
Missouri, 65807-5011 |
| Phone: | 417-866-7773 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801300637 |
| NPI Enumeration Date: | 01 Dec, 2017 |
| NPI Last Update On: | 01 Dec, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan Distaulo are as mentioned below.
| License Number | Specialization | State | Status | |
| 2017041286 | Professional Counselor | Missouri | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3101c S Kimbrough Ave,
Springfield, Missouri |
| Zip: | 65807-5011 |
Patients can reach Jonathan Distaulo at
3101c S Kimbrough Ave, Springfield, Missouri or can
call to book an appointment on 417-866-7773.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.