Provider Demographics
NPI:1396342234
Name:JUSU, ALBERT
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:JUSU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-5450
Mailing Address - Country:US
Mailing Address - Phone:617-230-6803
Mailing Address - Fax:
Practice Address - Street 1:ARBOUR COUNSELING SERVICES
Practice Address - Street 2:400 WASHINGTON STREET
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-843-3683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor