Most Relevant Information
Provider Data
| NPI Number: | 1003314196 |
| Provider Name: | JENNIFER L LUSINGER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 5531 |
Most Important Dates
| Enumeration Date: | 01/24/2018 |
| Last Updated: | 01/24/2018 |
Provider Practice Location
1015 S BROADWAY STE 18
MINOT
ND
587014667
Practice Location Phone/Fax
| Phone: | 7018578500 |
| Fax: | 7018578555 |
Provider Mailing Location
1015 S BROADWAY STE 18
MINOT
ND
587014667
Provider Mailing Phone/Fax
| Phone: | 7018578500 |
| Fax: | 7018578555 |