Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Alexander Brian Gustilo, AMFT136031

Individual provider Marriage & Family Therapist · NPI 1073225512

Mr. Alexander Brian Gustilo, AMFT136031 is a Marriage & Family Therapist in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

225 W Broadway
Glendale, CA 91204-1331
Phone: (818) 441-7800
Fax: (818) 441-0013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 136031 (CA)

Record details

NPI number1073225512
Entity typeIndividual (Type 1)
GenderMale
Credentials AMFT136031
Sole proprietorYes
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

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