Individual
MARSHA A GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(801) 538-2057
(801) 596-2515
Mailing address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(801) 538-2057
(801) 596-2515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5227281-6004
UT
Other
Enumeration date
01/23/2006
Last updated
07/09/2007
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