Individual provider · Type 1 NPI

Kevin A. Bustillo

Mental Health Counselor · Flushing, NY

NPI number 1144903642 Active

Practice location

4322 50th St
Flushing, NY 11377-4496

Mailing address

9208 Rockaway Fwy
Rockaway Beach, NY 11693-1839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144903642

Kevin A. Bustillo's National Provider Identifier is 1144903642, issued on Aug 10, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Flushing, NY. The record was last updated on Aug 10, 2023.