Individual provider · Type 1 NPI

Kristin Greta Gustafson

Mental Health Counselor · Eugene, OR

NPI number 1639805633 Active

Practice location

71 Centennial Loop Ste A
Eugene, OR 97401-2443

Fax (541) 515-6938

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639805633

Kristin Greta Gustafson's National Provider Identifier is 1639805633, issued on Aug 1, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Aug 1, 2022.