Provider Demographics
NPI:1811724602
Name:KUSZEWSKA, KARINA (LPC)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:KUSZEWSKA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HIGH RIDGE RD # 363
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3800
Mailing Address - Country:US
Mailing Address - Phone:917-930-7020
Mailing Address - Fax:
Practice Address - Street 1:65 HIGH RIDGE RD # 363
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3800
Practice Address - Country:US
Practice Address - Phone:917-930-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7662101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional