Individual
ANN GUSTAVUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19871 N STAR DR, PORTER, TX 77365-3043
(713) 857-2038
Mailing address
19871 N STAR DR, PORTER, TX 77365-3043
(713) 857-2038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64248
TX
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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