person
Jason R Cussen, MA
Mental Health Counselor in Fort Wayne, Indiana
NPI 1043644636

Jason R Cussen is a Mental Health Counselor based in Fort Wayne, IN and is specialized in Mental Health. Jason R Cussen practices in Fort Wayne, IN and has the professional credentials of MA. The NPI Number for Jason R Cussen is 1043644636 and holds a License No. 39002779A (Indiana).

The current practice location address for Jason R Cussen is 12743 Slash Pass, Fort Wayne, IN and can be reached out via phone at 260-345-7990.

Location: 12743 Slash Pass, Fort Wayne, IN, 46818-0063
person
Provider Profile Details
NPI Number
1043644636
Provider Name
Jason R Cussen
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
12743 Slash Pass, Fort Wayne, IN, 46818-0063
Phone Number
260-345-7990
Fax Number
Provider Enumeration Date
08/30/2013
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
12743 Slash Pass
City
State
Zip
46818-0063
Phone Number
260-345-7990
Fax Number
person
Provider Business Mailing Address Details
Address
12743 Slash Pass
City
State
Zip
46818-0063
Phone Number
260-345-7990
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39002779A (Indiana)
Definition
Definition to come...
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