person
Stephanie R Gustave, LPC,AMFT
Professional Counselor in Herrin, Illinois
NPI 1821058066

Stephanie R Gustave is a Professional Counselor based in Carbondale, IL and is specialized in Professional. Stephanie R Gustave practices in Herrin, IL and has the professional credentials of LPC,AMFT. The NPI Number for Stephanie R Gustave is 1821058066 and holds a License No. (Illinois).

The current practice location address for Stephanie R Gustave is 109 Lou Ann Dr, Herrin, IL and can be reached out via phone at 618-988-1330 and via fax at 618-988-8321.

Location: 109 Lou Ann Dr, Herrin, IL, 62901-5731
person
Provider Profile Details
NPI Number
1821058066
Provider Name
Stephanie R Gustave
Credential
LPC,AMFT
Provider Entity Type
Individual
Gender
Female
Address
109 Lou Ann Dr, Herrin, IL, 62901-5731
Phone Number
618-988-1330
Fax Number
618-988-8321
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
109 Lou Ann Dr
City
State
Zip
62948-3733
Phone Number
618-988-1330
Fax Number
618-988-8321
person
Provider Business Mailing Address Details
Address
109 Lou Ann Dr
City
State
Zip
62948-3733
Phone Number
618-988-1330
Fax Number
618-988-8321
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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