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MRS. SUSAN H. SHUSTER L.C.S.W., C.S.A.C.

Addiction Substance Use Disorder

Woodbridge, Virginia

Provider NPI: 1780678508

Provider Information:
MRS. SUSAN H. SHUSTER L.C.S.W., C.S.A.C.
Gender: F


Practice Location:
2200 OPITZ BLVD SUITE # 214A WOODBRIDGE, VA 22191 US
Tel: 703-494-6880  Fax: 703-492-0505

Business Mailing Address:
2200 OPITZ BLVD SUITE # 214A WOODBRIDGE, VA 22191 US
Tel: 703-494-6880  Fax: 703-492-0505

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
VA0710000533
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
VA0904002097

Other Provider Identifiers:

IssuerNumberStateType
BC/BS FEP210658VA01
MDIPA GROUP346665VA01
89-0255-1VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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