SearchColorado101YM0800X

Michael Gusack, LPC

NPI 1548285158 · on the registry since 2006

Practice

Address
645 Eldorado Blvd Apt 1213
Broomfield, CO 80021
Phone
(850) 737-0022
Organisation at this address
Spectrum Of Light Family Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-27

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 Colorado