Individual
BREONA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 BRIDGE ST APT 103, MORTON, PA 19070-2030
(484) 744-2341
Mailing address
119 BRIDGE ST APT 103, MORTON, PA 19070-2030
(484) 744-2341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
PA
101YP2500X
Professional Counselor
Primary
—
PA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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