person
Mrs. Amy Stack Gustavson, MS,LMHC
Mental Health Counselor in New York, New York
NPI 1629356977

Amy Stack Gustavson is a Mental Health Counselor based in Seaford, NY and is specialized in Mental Health. Amy Stack Gustavson practices in New York, NY and has the professional credentials of MS,LMHC. The NPI Number for Amy Stack Gustavson is 1629356977 and holds a License No. 002405-1 (New York).

The current practice location address for Amy Stack Gustavson is 251 Lafayette St Fl 3, New York, NY and can be reached out via phone at 212-570-1693.

Location: 251 Lafayette St Fl 3, New York, NY, 11783-2710
person
Provider Profile Details
NPI Number
1629356977
Provider Name
Amy Stack Gustavson
Credential
MS,LMHC
Provider Entity Type
Individual
Gender
Female
Address
251 Lafayette St Fl 3, New York, NY, 11783-2710
Phone Number
212-570-1693
Fax Number
Provider Enumeration Date
08/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
251 Lafayette St Fl 3
City
State
Zip
10012-4067
Phone Number
212-570-1693
Fax Number
person
Provider Business Mailing Address Details
Address
251 Lafayette St Fl 3
City
State
Zip
10012-4067
Phone Number
212-570-1693
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
002405-1 (New York)
Definition
Definition to come...
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