Provider Demographics
NPI:1265833628
Name:ECHOLS, JOHN CLARK JR (LPCC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CLARK
Last Name:ECHOLS
Suffix:JR
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7265 KENWOOD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4411
Mailing Address - Country:US
Mailing Address - Phone:513-549-5433
Mailing Address - Fax:
Practice Address - Street 1:7265 KENWOOD RD STE 150
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4411
Practice Address - Country:US
Practice Address - Phone:513-549-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0500137101YM0800X
OHE.0500137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health