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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.