Individual provider · Type 1 NPI
Liza Gustave, MS, LPC, LCDC
Mental Health Counselor · Killeen, TX
NPI number
1245911874
Active
Practice location
3600 Parkmill Dr
Killeen, TX 76542-6473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15367 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 84924 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1245911874
Liza Gustave, MS, LPC, LCDC's National Provider Identifier is 1245911874, issued on Jul 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Killeen, TX. The record was last updated on Jul 31, 2023.