Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAYNE ERIC GUSTAFSON, D.MIN.
Active Sole ProprietorWAYNE ERIC GUSTAFSON, D.MIN. is a Mental Health Counselor healthcare provider located in ITHACA, New York. NPI 1851778757 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ITHACA, NY
Registration Details
- NPI Number
- 1851778757
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2015 (11.268852083137 yrs)
- Last Updated
- Apr 29, 2015
- License
-
LMHC 002006 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
224 FOREST HOME DRITHACA, NY, 148502747Browse NY providers · Browse ZIP 14850
- Phone
- 6078570003
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Pastoral Counselor
Other Mental Health Counselor Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. REBECCA EVANS SCHAFER | LMHC | 1548231079 |
| LAURIE CONKLIN KAMP | LMHC | 1245291871 |
| MR. GARIN DANNER | LMHC | 1407819469 |
| MS. HARMONY AYERS-FRIEDLANDER | LMHC | 1902858129 |
| MR. MITCHELL D BOBROW | MSW | 1447358932 |
| MS. MARY LAUPPE | MA | 1518051432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.