Provider Demographics
NPI:1699112375
Name:ADUSEI, CHRISTA SHERBURNE (MS, CGC)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:SHERBURNE
Last Name:ADUSEI
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:NIKOLE
Other - Last Name:SHERBURNE-LAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:43 BROTHERS RD
Mailing Address - Street 2:
Mailing Address - City:STORMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12582-5025
Mailing Address - Country:US
Mailing Address - Phone:315-212-2968
Mailing Address - Fax:
Practice Address - Street 1:180 KIMBALL WAY
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-6218
Practice Address - Country:US
Practice Address - Phone:315-212-2968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS