Individual
LINDA BETH GUASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2173 HEARTS CLUB DR, HENDERSON, NV 89074-5856
(617) 359-1333
Mailing address
2173 HEARTS CLUB DR, HENDERSON, NV 89074-5856
(617) 359-1333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6016
MA
101YP2500X
Professional Counselor
Primary
CP0057
NV
Other
Enumeration date
05/14/2012
Last updated
11/17/2012
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