Individual
BENJAMIN JOHN GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6741 SEBASTOPOL AVE STE 160, SEBASTOPOL, CA 95472-3857
(707) 888-3925
Mailing address
6741 SEBASTOPOL AVE STE 160, SEBASTOPOL, CA 95472-3857
(707) 888-3925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/30/2012
Last updated
11/08/2019
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