| Doctor Name: | JO ANN CLEGHORNE |
| NPI Number: | 1104112275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GUIDANCE COUNSELOR |
| License Number: | 1133855 |
| Business Practice Address: | 9424 239th St Floral Park, NY - 110013823 |
| Business Phone Number: | 6462808418 |
| Business Fax Number: | |
| Mailing Address: | 9424 239th St, FLORAL PARK |
| State: | NY |
| Postal Code: | 110013823 |
| Phone Number: | 6462808418 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2011 |
| NPI Last Update Date: | 06/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 1133855 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |