Individual
MISS ANNE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
748 MARKET ST UNIT 70, TACOMA, WA 98402-3737
(310) 425-2588
Mailing address
748 MARKET ST UNIT 70, TACOMA, WA 98402-3737
(310) 425-2588
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60943743
WA
106H00000X
Marriage & Family Therapist
MFC39922
CA
106H00000X
Marriage & Family Therapist
TO891
OR
Other
Enumeration date
03/08/2007
Last updated
10/02/2021
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