Individual provider · Type 1 NPI

Tanya L. Gustafson, LAMFT

Marriage & Family Therapist · Kennesaw, GA

NPI number 1407280456 Active

Practice location

1815 Old 41 Hwy NW, Suite 110
Kennesaw, GA 30152-4420

Call (678) 468-9103 Map

Fax (520) 333-2906

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT001356 (GA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1407280456

Tanya L. Gustafson, LAMFT's National Provider Identifier is 1407280456, issued on Aug 27, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Kennesaw, GA. The record was last updated on Sep 22, 2014.