Individual
DAVID LASUERTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W KIRKWOOD AVE STE 140, BLOOMINGTON, IN 47404-6132
(765) 490-1250
Mailing address
4501 E STREACHER RD, BLOOMINGTON, IN 47408-9790
(765) 490-1250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34012148A
IN
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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