Individual
AUSTIN EVERETT GUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 359-8649
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 359-8649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G232005991860
FL
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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