Individual
JILL M GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
327 ORISKANY BLVD, WHITESBORO, NY 13492-1422
(315) 768-7181
(315) 768-7182
Mailing address
327 ORISKANY BLVD, WHITESBORO, NY 13492-1422
(315) 768-7181
(315) 768-7182
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000901
NY
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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