Jon C Desantis

NPI #1821380361 in Du Bois, Pennsylvania

Provider Information

NPI Number: 1821380361
Entity Type: Individual
Name: Jon C Desantis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 100 CALDWELL DR
City: Du Bois
State: Pennsylvania
ZIP Code: 15801-1152
Phone: (814) 371-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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