Individual provider · Type 1 NPI
Justin Robert Defonso, MS
Counselor · Mckeesport, PA
NPI number
1366742330
Active
Practice location
421 Pasadena Dr
Mckeesport, PA 15133-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1366742330
Justin Robert Defonso, MS's National Provider Identifier is 1366742330, issued on Oct 25, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mckeesport, PA. The record was last updated on Oct 25, 2010.