Individual
AYLA M GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3249 KINGSBRIDGE AVE, BRONX, NY 10463-5514
(646) 204-2295
Mailing address
5918 CATALPA AVE APT 3, RIDGEWOOD, NY 11385-4574
(707) 478-5698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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