JUSUP SIANTURI

ELMHURST, NY
NPI1851154488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  014355)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
JUSUP SIANTURI MA, LMHC
8615 BROADWAY APT 9C
ELMHURST, NY 11373-5835
Phone number: 718-813-0042
Mailing Address
JUSUP SIANTURI MA, LMHC
8615 BROADWAY APT 9C
ELMHURST, NY 11373-5835
Phone number:
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