Individual provider · Type 1 NPI
Theresa Fusaro, LPC
Professional Counselor · Madisonville, TX
NPI number
1689335895
Active
Practice location
712 S May St
Madisonville, TX 77864-2564
Fax (936) 349-0656
Mailing address
1500 University Dr E Ste 100
College Station, TX 77840-2600
Other practice locations
- 315 Prospect Dr, Trinity, TX 75862-6202 · (936) 744-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13014 (TX) |
Professional Counselor: Definition to come...
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About NPI 1689335895
Theresa Fusaro, LPC's National Provider Identifier is 1689335895, issued on Jan 10, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madisonville, TX. The record was last updated on Sep 12, 2024.