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Individual

MR. ALEXANDER BRIAN GUSTILO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AMFT 136031

Contact information

Practice address
225 W BROADWAY, GLENDALE, CA 91204-1331
(818) 441-7800
(818) 441-0013
Mailing address
225 W BROADWAY, GLENDALE, CA 91204-1331
(818) 441-7800
(818) 441-0013

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
136031
CA

Other

Enumeration date
12/15/2022
Last updated
12/15/2022
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