Individual provider · Type 1 NPI
Bryce Kasuba, MA, LPC LADC
Professional Counselor · Havertown, PA
NPI number
1386007839
Active
Practice location
40 E Benedict Ave
Havertown, PA 19083-2402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165 (CT) |
| Professional Counselor Primary | 101YP2500X | PC002908 (PA) |
Professional Counselor: Definition to come...
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About NPI 1386007839
Bryce Kasuba, MA, LPC LADC's National Provider Identifier is 1386007839, issued on Apr 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Havertown, PA. The record was last updated on Apr 1, 2016.