Search › Indiana › 101YA0400X
Howard Gustafson, LCSW
NPI 1891182713 · on the registry since 2015 · sole proprietor
Practice
- Address
- 324 N Park Ave
Indianapolis, IN 46202 - Phone
- (317) 714-7667
- Fax
- (317) 634-0253
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana