Individual
JONATHON C BAILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
125 EMERYVILLE DR STE 230, CRANBERRY TWP, PA 16066-5020
(724) 609-5002
(307) 734-0017
Mailing address
125 EMERYVILLE DR STE 230, CRANBERRY TWP, PA 16066-5020
(724) 609-5002
(307) 734-0017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1392
WY
101Y00000X
Counselor
677
WY
Other
Enumeration date
06/07/2012
Last updated
01/18/2022
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