Individual
MS. AMY GILLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
201 E 28TH ST STE 1F, NEW YORK, NY 10016-8538
(212) 614-7403
Mailing address
201 E 28TH ST STE 1F, NEW YORK, NY 10016-8538
(212) 614-7403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071218
NY
106H00000X
Marriage & Family Therapist
071218
NY
Other
Enumeration date
08/31/2006
Last updated
03/02/2021
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