Individual
JENNIFER SUSTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
38083 W SPAULDING ST STE 214, WILLOUGHBY, OH 44094-6158
(440) 290-9914
Mailing address
8775 EAST AVE STE B, MENTOR, OH 44060-4303
(440) 290-9914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1700290-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844093
—
OH
Enumeration date
02/24/2015
Last updated
07/24/2025
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