Individual provider · Type 1 NPI

Margaret L. Gustafson, PhD

Mental Health Counselor · Provo, UT

NPI number 1336463868 Active

Practice location

1300 E Center St
Provo, UT 84606-3554

Mailing address

PO Box 270
Provo, UT 84603-0270

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336463868

Margaret L. Gustafson, PhD's National Provider Identifier is 1336463868, issued on Mar 26, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Apr 17, 2019.