Individual
JOSEPHINE ISABELLA GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
TRANSFORM YOUTH AND FAMILY COUNSELING 122 NE BEACON DR, GRANTS PASS, OR 97526
(541) 507-6400
Mailing address
212 CEDAR ST APT E, ROGUE RIVER, OR 97537-9520
(541) 507-7582
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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