Individual
MS. ANUSHKA FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
250 SKYLAND DR, LOGANVILLE, GA 30052-2251
(786) 282-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005928
GA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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