Individual
CASSANDRA GUSTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, EDS, LMHC
Contact information
Practice address
801 DOUGLAS AVE STE 1001, ALTAMONTE SPRINGS, FL 32714-5204
(646) 971-0513
Mailing address
9301 SUMMIT CENTRE WAY UNIT 2210, ORLANDO, FL 32810-6318
(407) 791-4752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH25318
FL
101YM0800X
Mental Health Counselor
Primary
MH27332
FL
Other
Enumeration date
01/30/2024
Last updated
04/20/2026
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