Shannon Gustafson, MA
NPI #1912571993 in Los Altos, California
Provider Information
- NPI Number
- 1912571993
- Entity Type
- Individual
- Name
- Shannon Gustafson, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA
- Enumeration Date
- May 14, 2021
- Last Updated
- May 14, 2021
Practice Location
- Address
- 851 FREMONT AVE STE 210
- City
- Los Altos
- State
- California
- ZIP Code
- 94024-5602
- Phone
- (650) 297-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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