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Organization
LIVE WELL COUNSELING, LLC
Active
Organization
LIVE WELL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SUSTARSIC (COUNSELOR)
(440) 375-1821
Entity
Organization
Contact information
Practice address
7655 MENTOR AVE # 311, MENTOR, OH 44060-5409
(440) 375-1821
(216) 744-1722
Mailing address
7655 MENTOR AVE # 311, MENTOR, OH 44060-5409
(440) 375-1821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588159933
—
OH
Enumeration date
01/09/2022
Last updated
01/09/2022
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