Defonso, Justin Robert

Defonso, Justin Robert is an sole proprietor health care provider with primary practice located at 421 Pasadena Dr , Mckeesport PA 15133-3615. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Defonso, Justin Robert can be contacted via phone (412) 480-8683.

Contact Information

Primary practice address
421 Pasadena Dr Mckeesport PA 15133-3615
Phone: (412) 480-8683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1366742330
LBN Legal business name Defonso, Justin Robert
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Oct 25th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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