Individual
ERIC JOHN GUSTAVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 241-6023
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0015316
CO
Other
Enumeration date
07/11/2016
Last updated
03/21/2019
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