Lesley Weber Gustafson, LMHC
Individual provider Active NPI Mental Health Counselor · Northboro, MA
NPI 1093489692 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1093489692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LMHC876 (MA)
- Practice address
- 73 Maple Lane
Northboro, MA 01532 - Phone
- (508) 561-4531
- Fax
- (508) 393-8782
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC876 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC876 | MA | Yes |
Addresses
Primary practice location
73 Maple Lane
Northboro, MA 01532
Mailing address
73 Maple Lane
Northboro, MA 01532
Phone (508) 561-4531
Other providers in Northboro, MA
- Akram E Rafla, DMD, PC
- Joy E Becker
- Jonathan D Drisko
- Elsa S. Li, M.D. P.C.
- Rebecca P Haberman
- Glenn Robin Kessler
- C Susie King
- Patricia a Pfeifer DMD PC
- Cynthia M Poulos
All providers in Northboro, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.