Individual
GINA PUSTAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5703 W LAURIE LN, GLENDALE, AZ 85302-5935
(216) 905-4472
Mailing address
5703 W LAURIE LN, GLENDALE, AZ 85302-5935
(216) 905-4472
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17945
AZ
Other
Enumeration date
02/24/2022
Last updated
03/01/2022
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