Provider Demographics
NPI:1861446593
Name:TRUSLER, JON MARK (MS, LMHC)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:MARK
Last Name:TRUSLER
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3888 E 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47805-9545
Mailing Address - Country:US
Mailing Address - Phone:812-240-0737
Mailing Address - Fax:812-466-3950
Practice Address - Street 1:3021 N 13TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-1243
Practice Address - Country:US
Practice Address - Phone:812-240-0737
Practice Address - Fax:812-466-3950
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000766A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health