Individual
ANITA FUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 E 15TH AVE, BOWLING GREEN, KY 42101-2910
(270) 779-1762
(270) 842-9008
Mailing address
823 E 15TH AVE, BOWLING GREEN, KY 42101-2910
(270) 779-1762
(270) 842-9008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680
KY
Other
Enumeration date
10/21/2008
Last updated
04/05/2010
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