Individual
DANEKQUA DANIELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 WALNUT ST, MCKEESPORT, PA 15132-2801
(412) 675-6927
Mailing address
714 DELAWARE AVE # 1, GLASSPORT, PA 15045-1538
(412) 417-2159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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