Individual
GUSTAVIA GIVENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 N ARROWHEAD AVE, SAN BERNARDINO, CA 92408-1016
(909) 963-5355
Mailing address
431 MACKAY DR, SUITE 100, SAN BERNARDINO, CA 92408-3222
(909) 433-9300
(909) 433-9300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/28/2015
Last updated
07/21/2022
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