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Mr. Kevin Sustad
Mental Health Counselor in Merrick, New York
NPI 1689254203

Kevin Sustad is a Mental Health Counselor based in Merrick, NY and is specialized in Mental Health. Kevin Sustad practices in Merrick, NY. The NPI Number for Kevin Sustad is 1689254203 and holds a License No. 011247 (New York).

The current practice location address for Kevin Sustad is 2598 Orr St, Merrick, NY and can be reached out via phone at 516-941-7504.

Location: 2598 Orr St, Merrick, NY, 11566-4744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689254203
Provider Name
Kevin Sustad
Credential
Provider Entity Type
Individual
Gender
Male
Address
2598 Orr St, Merrick, NY, 11566-4744
Phone Number
516-941-7504
Fax Number
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2598 Orr St
City
Merrick
State
New York
Zip
11566-4744
Phone Number
516-941-7504
Fax Number
person
Provider Business Mailing Address Details
Address
2598 Orr St
City
Merrick
State
New York
Zip
11566-4744
Phone Number
516-941-7504
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
011247 (New York)
Definition
Definition to come...
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