Benjamin John Gustin

NPI #1326392234 in Sebastopol, California

Provider Information

NPI Number: 1326392234
Entity Type: Individual
Name: Benjamin John Gustin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 30, 2012
Last Updated: Nov 8, 2019

Practice Location

Address: 6741 SEBASTOPOL AVE STE 160
City: Sebastopol
State: California
ZIP Code: 95472-3857
Phone: (707) 888-3925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Counselor	101Y00000X	Primary

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