Individual provider · Type 1 NPI

Jill Cusack

Mental Health Counselor · Knoxville, TN

NPI number 1023236296 Active

Practice location

201 W Springdale Ave
Knoxville, TN 37917-5158

Fax (865) 637-4362

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023236296

Jill Cusack's National Provider Identifier is 1023236296, issued on Apr 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on Jul 8, 2007.