Individual provider · Type 1 NPI

Amy Gustafson

Counselor · Freeport, IL

NPI number 1891866422 Active

Practice location

421 W Exchange St
Freeport, IL 61032-4030

Mailing address

PO Box 813, 1255 W Empire
Freeport, IL 61032-0813

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1891866422

Amy Gustafson's National Provider Identifier is 1891866422, issued on Nov 13, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Freeport, IL. The record was last updated on Jul 8, 2007.