person
Ms. Lisa Kay Gustafson, MS/LCPC
Professional Counselor in Ottawa, Illinois
NPI 1962666875

Lisa Kay Gustafson is a Professional Counselor based in Ottawa, IL and is specialized in Professional. Lisa Kay Gustafson practices in Ottawa, IL and has the professional credentials of MS/LCPC. The NPI Number for Lisa Kay Gustafson is 1962666875 and holds a License No. 180.004529 (Illinois).

The current practice location address for Lisa Kay Gustafson is 424 W Madison St, Ottawa, IL and can be reached out via phone at 815-431-3022 and via fax at 815-433-3980.

Location: 424 W Madison St, Ottawa, IL, 61350-2833
person
Provider Profile Details
NPI Number
1962666875
Provider Name
Lisa Kay Gustafson
Credential
MS/LCPC
Provider Entity Type
Individual
Gender
Female
Address
424 W Madison St, Ottawa, IL, 61350-2833
Phone Number
815-431-3022
Fax Number
815-433-3980
Provider Enumeration Date
07/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
424 W Madison St
City
State
Zip
61350-2833
Phone Number
815-431-3022
Fax Number
815-433-3980
person
Provider Business Mailing Address Details
Address
424 W Madison St
City
State
Zip
61350-2833
Phone Number
815-431-3022
Fax Number
815-433-3980
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.004529 (Illinois)
Definition
Definition to come...
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