Jill M Gustin, LMFT

NPI #1801177316 in Whitesboro, New York

Provider Information

NPI Number: 1801177316
Entity Type: Individual
Name: Jill M Gustin, LMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Credential: LMFT
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 327 ORISKANY BLVD
City: Whitesboro
State: New York
ZIP Code: 13492-1422
Phone: (315) 768-7181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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