Individual
JEFFREY SUSTARSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Mailing address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1800851-SUPV
OH
Other
Enumeration date
06/28/2018
Last updated
01/02/2020
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