Tracy Elaine Gustafson, MA
NPI #1093230369 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1093230369
- Entity Type
- Individual
- Name
- Tracy Elaine Gustafson, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Aug 8, 2017
- Last Updated
- Aug 8, 2017
Practice Location
- Address
- 160 BEECHWOOD AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-5402
- Phone
- (401) 724-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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