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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.