CARISSA GUSTAFSON

CALABASAS, CA
NPI1871996694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  30196)
Enumeration Date2014-10-07
Last Update Date2024-05-01
Business Address
CARISSA GUSTAFSON
26565 AGOURA RD STE 200
CALABASAS, CA 91302-1990
Phone number: 310-692-4115
Mailing Address
CARISSA GUSTAFSON
26565 AGOURA RD STE 200
CALABASAS, CA 91302-1990
Phone number: 310-692-4115