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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.