Individual
TONYA KLEIN-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5021 NORTHFIELD DR, GIBSONIA, PA 15044-8003
(304) 794-9724
Mailing address
2910 CHARLES ST, WELLSBURG, WV 26070-1032
(304) 794-9724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
013249
PA
Other
Enumeration date
02/05/2016
Last updated
01/13/2025
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