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General NPI Number Information
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NPI Number | 1649110057
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Entity Type | Organization
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Legal Business Name | SUSAN K THERAPY, PLLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 205 MAIN ST
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City | WESTPORT
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State | CT
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Zip | 06880-3206
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Country | US
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Telephone | 959-214-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 60 CRESCENT DR
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City | MILFORD
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State | CT
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Zip | 06460-5030
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Country | US
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Telephone | 203-415-3450
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN KRUSHINSKY
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Credential | LPC
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Telephone | 959-214-4738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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