Individual provider · Type 1 NPI

Kevin Sustad

Mental Health Counselor · Merrick, NY

NPI number 1689254203 Active

Practice location

2598 Orr St
Merrick, NY 11566-4744

Call (516) 941-7504 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X011247 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1689254203

Kevin Sustad's National Provider Identifier is 1689254203, issued on Apr 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Merrick, NY. The record was last updated on Jan 23, 2023.