Individual ProviderJasper H WursterCounselorBehavioral Health & Social Service ProvidersPractice Address1518 E Lincoln Ave, Royal Oak, MI 48067-3402(248) 677-1502PECOS EnrollmentBased on the most recent information from CMS, provider Jasper H Wurster does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912443482Provider TypeIndividualFull NameWurster, Jasper HCredentialLCPC, LPCSole ProprietorNoEnumeration Date1/9/2017Last Updated8/7/2024Contact InformationPractice LocationPractice Address1518 E Lincoln Ave, Royal Oak, MI 48067-3402Phone(248) 677-1502Fax(313) 789-1664Mailing LocationMailing Address949 W Farnum Ave, Madison Heights, MI 48071-3107Phone(248) 677-1502FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6401223373MichiganCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.011626Illinois