MEDICARE: KRISTEN ALINE TRUSSA LPC

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	101YP2500X	Professional Counselor	PC013266	PA

General Provider Information

NPI Number	:	1447042908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN ALINE TRUSSA LPC

Provider Business Mailing Address
First Line	:	2617 SUNSET DR
Second Line	:
City	:	WEST MIFFLIN
State	:	PA
Zip	:	15122-3564
Country	:	US
Telephone Number	:	724-554-5785
Fax Number	:	724-554-5785

Provider Business Practice Location Address
First Line	:	2617 SUNSET DR
Second Line	:
City	:	WEST MIFFLIN
State	:	PA
Zip	:	15122-3564
Country	:	US
Telephone Number	:	724-554-5785
Fax Number	:	724-554-5785

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

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	05/20/2025

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