Sustar, Jennifer

Sustar, Jennifer is an sole proprietor health care provider with primary practice located at 38083 W Spaulding St Ste 214 , Willoughby OH 44094-6158. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sustar, Jennifer can be contacted via phone (440) 290-9914.

Contact Information

Primary practice address
38083 W Spaulding St Ste 214 Willoughby OH 44094-6158
Phone: (440) 290-9914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1700290-SUPV Ohio

Profile Details

NPI number 1437541752
LBN Legal business name Sustar, Jennifer
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2015
Last updated Jul 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437541752 NPPES
Ohio MEDICAID 2844093

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