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Malcolm Rose Sushchyk, LICSW00012367
Mental Health Counselor in Sterling, Massachusetts
NPI 1215343231

Malcolm Rose Sushchyk is a Mental Health Counselor based in Sterling, MA and is specialized in Mental Health. Malcolm Rose Sushchyk practices in Sterling, MA and has the professional credentials of LICSW00012367. The NPI Number for Malcolm Rose Sushchyk is 1215343231 and holds a License No. ASW75117 (Massachusetts).

The current practice location address for Malcolm Rose Sushchyk is 163 Princeton Rd, Sterling, MA and can be reached out via phone at 650-516-6672.

Location: 163 Princeton Rd, Sterling, MA, 01564-2708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215343231
Provider Name
Malcolm Rose Sushchyk
Credential
LICSW00012367
Provider Entity Type
Individual
Gender
Male
Address
163 Princeton Rd, Sterling, MA, 01564-2708
Phone Number
650-516-6672
Fax Number
Provider Enumeration Date
07/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99467 01 CA BOARD OF BEHAVIORAL SCIENCES
institution
Provider Business Practice Location Address Details
Address
163 Princeton Rd
City
Sterling
State
Massachusetts
Zip
01564-2708
Phone Number
650-516-6672
Fax Number
person
Provider Business Mailing Address Details
Address
163 Princeton Rd
City
Sterling
State
Massachusetts
Zip
01564-2708
Phone Number
650-516-6672
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
000123679 (Massachusetts)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW75117 (California)
Definition
Definition to come...
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