Kasuba Design

NPI #1518469477 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1518469477
Entity Type: Organization
Organization Name: Kasuba Design
Subpart: Yes (part of a larger organization)
Parent Organization: KASUBA DESIGN
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 8600 W CHESTER PIKE STE 108
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-2629
Phone: (610) 212-3328

Authorized Official

Name: BRYCE KASUBA, LPC LADC
Title: VICE-PRESIDENT
Phone: (610) 212-3328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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