Doctor Name: | JOHN AUSIKAITIS |
NPI Number: | 1255631206 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 6988 |
Business Practice Address: | 203 East St Easthampton, MA - 010271234 |
Business Phone Number: | 4135297777 |
Business Fax Number: | 4135297767 |
Mailing Address: | 203 East St, EASTHAMPTON |
State: | MA |
Postal Code: | 010271234 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/25/2010 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |