Individual provider · Type 1 NPI

Jillian Gustafson

Mental Health Counselor · Rochelle, IL

NPI number 1083164875 Active

Practice location

1321 N 7th St
Rochelle, IL 61068-1185

Call (815) 562-3801 Map

Mailing address

1123 Jenny Dr, Apt F
Sycamore, IL 60178-9556

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083164875

Jillian Gustafson's National Provider Identifier is 1083164875, issued on Oct 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochelle, IL. The record was last updated on Oct 5, 2016.