Individual
ANGELA MARIE FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4435 COASTAL HWY, SAINT AUGUSTINE, FL 32084-1304
(904) 347-0843
Mailing address
4435 COASTAL HWY, SAINT AUGUSTINE, FL 32084-1304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15966
FL
Other
Enumeration date
06/22/2018
Last updated
06/02/2021
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