KEVIN SUSTAD

MERRICK, NY
NPI1689254203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  011247)
Enumeration Date2021-04-08
Last Update Date2023-01-23
Business Address
Mr. KEVIN SUSTAD
2598 ORR ST
MERRICK, NY 11566-4744
Phone number: 516-941-7504
Mailing Address
Mr. KEVIN SUSTAD
2598 ORR ST
MERRICK, NY 11566-4744
Phone number: 516-941-7504