person
Miranda R. Gustafson
Peer Specialist in Everett, Washington
NPI 1811749542

Miranda R. Gustafson is a Peer Specialist based in Everett, WA. Miranda R. Gustafson practices in Everett, WA. The NPI Number for Miranda R. Gustafson is 1811749542 and holds a License No. (Washington).

The current practice location address for Miranda R. Gustafson is 4526 Federal Ave Bldg 1, Everett, WA and can be reached out via phone at 425-349-6200.

Location: 4526 Federal Ave Bldg 1, Everett, WA, 98203-2132
person
Provider Profile Details
NPI Number
1811749542
Provider Name
Miranda R. Gustafson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4526 Federal Ave Bldg 1, Everett, WA, 98203-2132
Phone Number
425-349-6200
Fax Number
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4526 Federal Ave Bldg 1
City
State
Zip
98203-2132
Phone Number
425-349-6200
Fax Number
person
Provider Business Mailing Address Details
Address
4526 Federal Ave Bldg 1
City
State
Zip
98203-2132
Phone Number
425-349-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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