Provider Demographics
NPI:1972105518
Name:STUSENKO, VALENTYNA (LPCC)
Entity type:Individual
Prefix:
First Name:VALENTYNA
Middle Name:
Last Name:STUSENKO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15865 PIONEER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PIONEER
Mailing Address - State:CA
Mailing Address - Zip Code:95666-9400
Mailing Address - Country:US
Mailing Address - Phone:925-451-7338
Mailing Address - Fax:
Practice Address - Street 1:15865 PIONEER CREEK RD
Practice Address - Street 2:
Practice Address - City:PIONEER
Practice Address - State:CA
Practice Address - Zip Code:95666-9400
Practice Address - Country:US
Practice Address - Phone:925-451-7338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15868101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty