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NPI Code Detail

MEDICARE: ASHLEY LYNN JUSTER-KRUSE LMHC

MEDICARE: ASHLEY LYNN JUSTER-KRUSE LMHC
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
1101YM0800XMental Health Counselor010818NY

General Provider Information

NPI Number : 1518406461
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LYNN JUSTER-KRUSE LMHC
Provider Business Mailing Address
First Line : 930 CENTRAL AVENUE
Second Line : UNIT 226
City : SAINT PETERSBURG
State : FL
Zip : 33705
Country : US
Telephone Number : 516-662-9955
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number : 516-822-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 09/20/2023

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