Individual provider · Type 1 NPI

Josephine Isabella Gustafson

Peer Specialist · Grants Pass, OR

NPI number 1215867312 Active

Practice location

Transform Youth And Family Counseling 122 NE Beacon Dr
Grants Pass, OR 97526

Mailing address

212 Cedar St Apt E
Rogue River, OR 97537-9520

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1215867312

Josephine Isabella Gustafson's National Provider Identifier is 1215867312, issued on May 20, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on May 20, 2026.