Provider Demographics
NPI:1265134241
Name:KALISZ-TONSOR, JOHN (MS, LPC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:KALISZ-TONSOR
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 S BRADDOCK AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1871
Mailing Address - Country:US
Mailing Address - Phone:412-206-9279
Mailing Address - Fax:
Practice Address - Street 1:1789 S BRADDOCK AVE STE 350
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1871
Practice Address - Country:US
Practice Address - Phone:412-206-9279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional