Mary Gustafik, LPC

NPI #1174702922 in Sandpoint, Idaho

Provider Information

NPI Number: 1174702922
Entity Type: Individual
Name: Mary Gustafik, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 312 S FIRST AVE LOWR LEVEL
City: Sandpoint
State: Idaho
ZIP Code: 83864-1202
Phone: (208) 263-7727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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