Individual
MS. DANIELLE GUSTAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 83RD ST, JACKSON HEIGHTS, NY 11372-5229
(718) 639-0700
Mailing address
179 ROGERS AVE, BROOKLYN, NY 11216-4202
(347) 420-8447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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