Charles Leonard Gustafson in Covina - Marriage & Family Therapist
Charles Leonard Gustafson - NPI 1689717472
Charles Leonard Gustafson is a Marriage & Family Therapist in Covina, California. Charles Leonard Gustafson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Charles Leonard Gustafson is 1689717472. The last update date is 2007-07-08.
Charles Leonard Gustafson's current location address is 599 S Barranca St, Covina, California. You can contact this provider via phone number 6269662662. The mailing address for Charles Leonard Gustafson is 599 S Barranca St, Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Leonard Gustafson |
|---|---|
| Address | 599 S Barranca St, Covina, California |
| Phone Number | 6269662662 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1689717472 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 599 S Barranca St |
|---|---|
| City | Covina |
| State | California (CA) |
| Post Code | 91723 |
| Phone Number | 6269662662 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 5983 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Charles Leonard Gustafson by the Centers for Medicare & Medicaid Services?
The Charles Leonard Gustafson has been assigned the NPI (National Provider Identifier) 1689717472 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Charles Leonard Gustafson?
The Charles Leonard Gustafson is physically situated at 599 S Barranca St, in the city of Covina, state of CA, with the postal code 91723.
What is Charles Leonard Gustafson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles Leonard Gustafson is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689717472 to Charles Leonard Gustafson?
The Centers for Medicare & Medicaid Services assigned the 1689717472 to Charles Leonard Gustafson on 2007-02-14.
When was the information regarding Charles Leonard Gustafson most recently updated?
The details pertaining to the Charles Leonard Gustafson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.