JASON R CUSSEN

FORT WAYNE, IN
NPI1043644636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002779A)
Enumeration Date2013-08-30
Last Update Date2024-05-25
Business Address
JASON R CUSSEN MA
12743 SLASH PASS
FORT WAYNE, IN 46818-0063
Phone number: 260-345-7990
Mailing Address
JASON R CUSSEN MA
12743 SLASH PASS
FORT WAYNE, IN 46818-0063
Phone number: 260-345-7990
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