Individual
NATASHA NICHOLE NUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA MHP
Contact information
Practice address
614 W HEALEY ST, CHAMPAIGN, IL 61820-5025
(217) 398-1658
Mailing address
502 W SPRINGFIELD AVE, APT 2, CHAMPAIGN, IL 61820-4755
(217) 495-1499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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