Individual
MR. ANTON PHILIP PUSTAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED./ED.S, LMHC
Contact information
Practice address
411 BAYFRONT DR, BOYNTON BEACH, FL 33435-8643
(561) 301-5787
(352) 374-5608
Mailing address
411 BAYFRONT DR, BOYNTON BEACH, FL 33435-8643
(561) 301-5787
(352) 374-5608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
08/07/2020
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