Kelli Gustavson
NPI #1326396441 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1326396441
- Entity Type
- Individual
- Name
- Kelli Gustavson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 21, 2012
- Last Updated
- Aug 21, 2012
Practice Location
- Address
- 1491 MAIN ST
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-1914
- Phone
- (860) 456-3215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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