Mary Gustafik in Coeur D Alene - Mental Health
Mary Gustafik - NPI 1174702922
Mary Gustafik is a Mental Health in Coeur D Alene, Idaho. Mary Gustafik practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Gustafik is 1174702922. The last update date is 2007-10-29.
Mary Gustafik's current location address is 202 E Anton Ave Ste 206, Coeur D Alene, Idaho. You can contact this provider via phone number 2086676095 and fax number 2086676173. The mailing address for Mary Gustafik is 202 E Anton Ave Ste 206, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Gustafik |
|---|---|
| Address | 202 E Anton Ave Ste 206, Coeur D Alene, Idaho |
| Phone Number | 2086676095 |
| Fax Number | 2086676173 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1174702922 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 202 E Anton Ave Ste 206 |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838153779 |
| Phone Number | 2086676095 |
| Fax Number | 2086676173 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 3849 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Mary Gustafik by the Centers for Medicare & Medicaid Services?
The Mary Gustafik has been issued the NPI (National Provider Identifier) 1174702922. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary Gustafik is located?
The Mary Gustafik is situated at the following address: 202 E Anton Ave Ste 206, Coeur D Alene, ID, 838153779.
What is Mary Gustafik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Gustafik is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Mary Gustafik receive its 1174702922 assignment from the Centers for Medicare & Medicaid Services?
The Mary Gustafik was assigned its 1174702922 on 2007-10-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mary Gustafik's information last updated?
The Mary Gustafik's information was last updated on 2007-10-29.
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