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Amy Cusumano
Addiction (Substance Use Disorder) Counselor in Costa Mesa, California
NPI 1013390848

Amy Cusumano is an Addiction (Substance Use Disorder) Counselor based in Costa Mesa, CA and is specialized in Addiction (Substance Use Disorder). Amy Cusumano practices in Costa Mesa, CA. The NPI Number for Amy Cusumano is 1013390848 and holds a License No. C4970811 (California).

The current practice location address for Amy Cusumano is 3151 Airway Ave, Costa Mesa, CA and can be reached out via phone at 714-957-8229.

Location: 3151 Airway Ave, Costa Mesa, CA, 92626-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013390848
Provider Name
Amy Cusumano
Credential
Provider Entity Type
Individual
Gender
Female
Address
3151 Airway Ave, Costa Mesa, CA, 92626-4607
Phone Number
714-957-8229
Fax Number
Provider Enumeration Date
06/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3151 Airway Ave
City
Costa Mesa
State
California
Zip
92626-4607
Phone Number
714-957-8229
Fax Number
person
Provider Business Mailing Address Details
Address
3151 Airway Ave
City
Costa Mesa
State
California
Zip
92626-4607
Phone Number
714-957-8229
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C4970811 (California)
Definition
Definition to come...
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