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Individual

MR. JOEL T GUSTAFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC., LCMFT

Contact information

Practice address
6420 W 95TH ST STE 100, OVERLAND PARK, KS 66212-1434
(913) 826-3150
Mailing address
9200 GLENWOOD ST STE 103, OVERLAND PARK, KS 66212-1304
(913) 647-8092

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2241
KS
106H00000X
Marriage & Family Therapist
1248
KS
106H00000X
Marriage & Family Therapist
Primary
2735
KS

Other

Enumeration date
12/04/2011
Last updated
04/27/2026
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