Individual provider · Type 1 NPI

Mary Elizabeth Krusac

Mental Health Counselor · Dallas, GA

NPI number 1003578253 Active

Practice location

118 Birch River Ct
Dallas, GA 30132-5575

Call (678) 744-8417 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW008594 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1003578253

Mary Elizabeth Krusac's National Provider Identifier is 1003578253, issued on Oct 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, GA. The record was last updated on Oct 5, 2021.