Individual
RACHAEL GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC-T
Contact information
Practice address
5800 W GLENN DR STE 140, GLENDALE, AZ 85301-2483
(480) 750-9337
Mailing address
5800 W GLENN DR STE 140, GLENDALE, AZ 85301-2483
(480) 750-9337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-08236T
AZ
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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