Individual provider · Type 1 NPI

Gaston Luis Bustos, PhD, LMHC

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1558670976 Active

Practice location

3521 W Broward Blvd Fl 3
Fort Lauderdale, FL 33312-1048

Mailing address

4212 Van Buren St
Hollywood, FL 33021-7236

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 9213 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1558670976

Gaston Luis Bustos, PhD, LMHC's National Provider Identifier is 1558670976, issued on Oct 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 4, 2010.