MEDICARE: JUSTINA GAZSO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.2505552	OH

General Provider Information

NPI Number	:	1881170470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINA GAZSO

Provider Business Mailing Address
First Line	:	213 KENMORE AVE NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-5515
Country	:	US
Telephone Number	:	330-979-7726
Fax Number	:

Provider Business Practice Location Address
First Line	:	2671 YOUNGSTOWN RD SE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-4404
Country	:	US
Telephone Number	:	330-469-9743
Fax Number	:	330-306-6916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2018
Last Update Date	:	02/10/2026

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