Individual
PABLO A KUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3573 S 158TH PL BLDG B, GILBERT, AZ 85297-2046
(480) 271-4961
Mailing address
3573 S 158TH PL BLDG B, GILBERT, AZ 85297-2046
(480) 271-4961
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PENDING
AZ
101YM0800X
Mental Health Counselor
PENDING
AZ
101YP2500X
Professional Counselor
Primary
LPC20980
AZ
Other
Enumeration date
02/06/2018
Last updated
05/20/2022
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