Jason R Cussen, MA
NPI #1043644636 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043644636
- Entity Type
- Individual
- Name
- Jason R Cussen, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Aug 30, 2013
- Last Updated
- May 25, 2024
Practice Location
- Address
- 12743 SLASH PASS
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46818-0063
- Phone
- (260) 345-7990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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