Individual
ANDREW FUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
3444 CUMBERLAND FALLS HWY, CORBIN, KY 40701-9056
(606) 404-8137
Mailing address
3444 CUMBERLAND FALLS HWY, CORBIN, KY 40701-9056
(606) 404-8137
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1204244
KY
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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