Katy Gustafson LCPC - Mental Health Counselor in Bethesda, Maryland | ProviderWire

Full Name

Katy Gustafson LCPC

NPI Number

1669011920

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/03/2020

Specialties

(Taxonomies)

Name

Mental Health Counselor

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Maryland

Maryland

License Number

LC12771

LGP9970

Contact
Information

Purpose

Mailing

Location

Address

5518 CHESHIRE MEADOWS WAY

4424 MONTGOMERY AVE STE 201

City

Fairfax

Bethesda

State

VA

MD

Postal Code

22032-3226

20814-4436

Country

US

US

Telephone Number

(402) 750-3668

(240) 560-2261

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/08/2024

Provider Address

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