Individual
MR. RYAN JON GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LMFT
Contact information
Practice address
350 S CENTER ST, RENO, NV 89501-2103
(775) 337-4401
Mailing address
1906 KINGLET DR, SPARKS, NV 89441-6805
(775) 224-0693
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01050
NV
Other
Enumeration date
03/28/2007
Last updated
02/05/2020
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