Individual
KATERYNA SERHIYIVNA SHUSHVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
256 BROAD ST # 2E, BLOOMFIELD, NJ 07003-2766
(732) 982-2888
Mailing address
256 BROAD ST # 2E, BLOOMFIELD, NJ 07003-2766
(732) 982-2888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00749500
NJ
101Y00000X
Counselor
Primary
37PC01248900
NJ
101YP2500X
Professional Counselor
Primary
37PC01248900
NJ
Other
Enumeration date
12/06/2024
Last updated
05/05/2026
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