Individual
JESSICA BURNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 EAST HIGH STREE, SUITE 342, WAYNESBURG, PA 15370
(724) 627-0608
Mailing address
PO BOX 382, GRINDSTONE, PA 15442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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