Individual
MRS. KAREN M GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
333 SOUTH 132D STREET, OMAHA, NE 68154
(402) 330-2024
(402) 697-7019
Mailing address
333 SOUTH 132D STREET, OMAHA, NE 68154
(402) 330-2024
(402) 697-7019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2002
NE
101YM0800X
Mental Health Counselor
Primary
920
NE
101YP2500X
Professional Counselor
2002
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13006
MIDLANDS CHOICE
NE
01
—
84887
BCBS
NE
Enumeration date
09/28/2006
Last updated
12/16/2011
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