KELLY GUSTAFSON
Counselor - Mental Health
Active
Individual
NPI: 1508691023
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1508691023 is the National Provider Identifier for KELLY GUSTAFSON, a Counselor - Mental Health provider located in Dekalb, IL. This NPI was enumerated on September 4, 2024.
KELLY GUSTAFSON practices at 12 HEALTH SERVICES DR, Dekalb, IL 60115.
Quick Facts
- NPI
- 1508691023
- Type
- Individual
- Enumerated
- Sep 4, 2024
- Last Updated
- Sep 4, 2024
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