Gustafik, Mary
Gustafik, Mary is an individual health care provider with primary practice located at 312 S First Ave Lowr Level , Sandpoint ID 83864-1202. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gustafik, Mary can be contacted via phone (208) 263-7727.Contact Information
Primary practice address
312 S First Ave Lowr Level
Sandpoint ID 83864-1202
Phone: (208) 263-7727
Fax: (208) 263-7728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3849 | Idaho |
Profile Details
| NPI number | 1174702922 |
|---|---|
| LBN Legal business name | Gustafik, Mary |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Oct 29th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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