Individual provider · Type 1 NPI

Justin Cusumano, MA

Mental Health Counselor · Melbourne, FL

NPI number 1104308675 Active

Practice location

5545 N Wickham Rd Ste 110
Melbourne, FL 32940-7323

Call (321) 872-4660 Map

Mailing address

3466 Fort Nelson Ln
Melbourne, FL 32934-2902

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104308675

Justin Cusumano, MA's National Provider Identifier is 1104308675, issued on Aug 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Oct 21, 2021.