Individual provider · Type 1 NPI

Jade Sustacek

Mental Health Counselor · Orange, CA

NPI number 1235652694 Active

Practice location

301 The City Dr S
Orange, CA 92868-3205

Call (714) 935-6363 Map

Mailing address

8249 E Loftwood Ln
Orange, CA 92867-6488

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1235652694

Jade Sustacek's National Provider Identifier is 1235652694, issued on Jul 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange, CA. The record was last updated on Jul 18, 2017.