Michael D. Gusack, Ma, Lmhc
NPI #1770048555 in Mary Esther, Florida
Provider Information
- NPI Number
- 1770048555
- Entity Type
- Organization
- Organization Name
- Michael D. Gusack, Ma, Lmhc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 5, 2019
- Last Updated
- Feb 5, 2019
Practice Location
- Address
- 124 E MIRACLE STRIP PKWY STE 602
- City
- Mary Esther
- State
- Florida
- ZIP Code
- 32569-1991
- Phone
- (850) 243-7035
Authorized Official
- Name
- MISS MARIA TUMANENG
- Title
- ASSISTANT MANAGER/BILLING
- Phone
- (850) 384-8648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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