Individual provider · Type 1 NPI

Amy Stack Gustavson, MS, LMHC

Mental Health Counselor · New York, NY

NPI number 1629356977 Active

Practice location

251 Lafayette St Fl 3
New York, NY 10012-4067

Call (212) 570-1693 Map

Mailing address

3726 Hilaire Way
Seaford, NY 11783-2710

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X002405-1 (NY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1629356977

Amy Stack Gustavson, MS, LMHC's National Provider Identifier is 1629356977, issued on Aug 3, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Aug 3, 2011.