Individual provider · Type 1 NPI

Maxine Sushelsky, LMHC

Mental Health Counselor · Waltham, MA

NPI number 1114065794 Active

Practice location

169 Elm St
Waltham, MA 02453-5356

Fax (781) 894-1202

Mailing address

PO Box 1182
Watertown, MA 02471-1182

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6658 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1114065794

Maxine Sushelsky, LMHC's National Provider Identifier is 1114065794, issued on Feb 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waltham, MA. The record was last updated on Oct 8, 2008.