Provider Demographics
NPI:1952479461
Name:SHUSTER FAMILY COUNSELING SERVICE, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SHUSTER FAMILY COUNSELING SERVICE, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUSTETR
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:626-915-1681
Mailing Address - Street 1:1274 EAST CENTER COURT
Mailing Address - Street 2:SUITE 112
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724
Mailing Address - Country:US
Mailing Address - Phone:626-915-1681
Mailing Address - Fax:626-915-6503
Practice Address - Street 1:1274 EAST CENTER COURT
Practice Address - Street 2:SUITE 112
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724
Practice Address - Country:US
Practice Address - Phone:626-915-1681
Practice Address - Fax:626-915-6503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty