Individual provider · Type 1 NPI

Luke Allan Gustavson

Mental Health Counselor · Worcester, MA

NPI number 1356950794 Active

Practice location

1280 Main St
Worcester, MA 01603-1861

Call (508) 754-1141 Map

Mailing address

1 Ludlow St Apt 1
Worcester, MA 01603-1181

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356950794

Luke Allan Gustavson's National Provider Identifier is 1356950794, issued on Jul 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Jul 30, 2020.