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Provider Information for 1326547282


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

PABLO A KUSAK MA, LPC


Sex: Male

NPI: 1326547282
Last Updated: 2022-05-20
Certification Date: 2022-05-10

Details

NameValue
NPI1326547282
Enumeration Date2018-02-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3573 S 158TH PL BLDG B
GILBERT, AZ 85297-2046
United States

Phone: 480-271-4961 | Fax:
 
Primary Practice Address 3573 S 158TH PL BLDG B
GILBERT, AZ 85297-2046
United States

Phone: 480-271-4961 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor AZpending
No 101YM0800X - Counselor - Mental HealthAZpending
Yes 101YP2500X - Counselor - ProfessionalAZLPC20980