Stephanie R Gustave, LPC, AMFT

NPI #1821058066 in Herrin, Illinois

Provider Information

NPI Number
1821058066
Entity Type
Individual
Name
Stephanie R Gustave, LPC, AMFT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Counselor - Professional
Credential
LPC, AMFT
Enumeration Date
Mar 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
109 LOU ANN DR
City
Herrin
ZIP Code
62948-3733
Phone
(618) 988-1330

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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