Individual
KELSEY SUSTARSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
S77W30705 MOSHER DR, MUKWONAGO, WI 53149-8860
(216) 570-9680
Mailing address
S77W30705 MOSHER DR, MUKWONAGO, WI 53149-8860
(216) 570-9680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1500367
OH
101YP2500X
Professional Counselor
Primary
E.2001669
OH
Other
Enumeration date
04/19/2017
Last updated
09/02/2025
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