Individual provider · Type 1 NPI

Stephanie R. Gustave, LPC, AMFT

Professional Counselor · Herrin, IL

NPI number 1821058066 Active

Practice location

109 Lou Ann Dr
Herrin, IL 62948-3733

Call (618) 988-1330 Map

Fax (618) 988-8321

Mailing address

573 Brush Hill Rd
Carbondale, IL 62901-5731

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1821058066

Stephanie R. Gustave, LPC, AMFT's National Provider Identifier is 1821058066, issued on Mar 23, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Herrin, IL. The record was last updated on Jul 13, 2026.