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Katy Gustafson, LCPC

Counselor, Mental Health in Bethesda, MD. Individual provider (NPI-1).

NPI number1669011920
StatusActive
Last updated in NPPESMay 8, 2024

Details

NPI
1669011920
Entity type
Individual (NPI-1)
Name
Katy Gustafson
Credential
LCPC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2020
Certification date
May 8, 2024
Last updated
May 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLC12771MDYes
101YM0800X Counselor, Mental HealthLGP9970MD

Other names

  • Katy Janousek (Former Name)

Practice location

4424 Montgomery Ave Ste 201
Bethesda, MD 20814-4436

Phone 240-560-2261

Mailing address

5518 Cheshire Meadows Way
Fairfax, VA 22032-3226

Phone 402-750-3668

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