person
Mrs. Tina Marie Desport, LSW
Mental Health Counselor in Latrobe, Pennsylvania
NPI 1912166158

Tina Marie Desport is a Mental Health Counselor based in Derry, PA and is specialized in Mental Health. Tina Marie Desport practices in Latrobe, PA and has the professional credentials of LSW. The NPI Number for Tina Marie Desport is 1912166158 and holds a License No. SW129788 (Pennsylvania).

The current practice location address for Tina Marie Desport is 1001 Ligonier St, Latrobe, PA and can be reached out via phone at 724-537-0760 and via fax at 724-537-0780.

Location: 1001 Ligonier St, Latrobe, PA, 15627-2686
person
Provider Profile Details
NPI Number
1912166158
Provider Name
Tina Marie Desport
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
1001 Ligonier St, Latrobe, PA, 15627-2686
Phone Number
724-537-0760
Fax Number
724-537-0780
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Ligonier St
City
State
Zip
15650-1832
Phone Number
724-537-0760
Fax Number
724-537-0780
person
Provider Business Mailing Address Details
Address
1001 Ligonier St
City
State
Zip
15650-1832
Phone Number
724-537-0760
Fax Number
724-537-0780
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
SW129788 (Pennsylvania)
Definition
Definition to come...
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