Individual provider · Type 1 NPI

Tina Marie Desport, LSW

Mental Health Counselor · Latrobe, PA

NPI number 1912166158 Active

About NPI 1912166158

Tina Marie Desport, LSW's National Provider Identifier is 1912166158, issued on Jun 3, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Latrobe, PA. The record was last updated on Apr 17, 2013.