Individual
SHARON DENISE GUSTAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC -A
Contact information
Practice address
1244 STORRS RD, STORRS, CT 06268-2200
(860) 420-2450
Mailing address
78 BRANFORD ST, HARTFORD, CT 06112-1520
(860) 249-1078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4308
CT
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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