Individual provider · Type 1 NPI

Stephanie Brooke Gustafson, M.A.

Professional Counselor · Charleston, WV

NPI number 1891047783 Active

Practice location

2406 Kanawha Blvd E
Charleston, WV 25311-2323

Fax (304) 202-7879

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2594 (TN)
Professional Counselor Primary 101YP2500X135 (WV)

Professional Counselor: Definition to come...

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About NPI 1891047783

Stephanie Brooke Gustafson, M.A.'s National Provider Identifier is 1891047783, issued on Oct 3, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charleston, WV. The record was last updated on Mar 27, 2026.