Individual
MAKAILA TUSSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
541 STATE ROUTE 664 N, SUITE C, LOGAN, OH 43138-8541
(740) 385-6594
(740) 385-0852
Mailing address
541 STATE ROUTE 664 N, SUITE C, LOGAN, OH 43138-8541
(740) 385-6594
(740) 385-0852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C10000045
OH
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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