Provider Demographics
NPI:1386453116
Name:GUSTAVE, FRANCESKA
Entity type:Individual
Prefix:
First Name:FRANCESKA
Middle Name:
Last Name:GUSTAVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 WASHINGTON TER
Mailing Address - Street 2:
Mailing Address - City:LEONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07605-1224
Mailing Address - Country:US
Mailing Address - Phone:201-377-8272
Mailing Address - Fax:
Practice Address - Street 1:416 WASHINGTON TER
Practice Address - Street 2:
Practice Address - City:LEONIA
Practice Address - State:NJ
Practice Address - Zip Code:07605-1224
Practice Address - Country:US
Practice Address - Phone:201-377-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health