Individual
STEPHANIE BROOKE GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2406 KANAWHA BLVD E, CHARLESTON, WV 25311-2323
(304) 539-0342
(304) 202-7879
Mailing address
2406 KANAWHA BLVD E, CHARLESTON, WV 25311-2323
(304) 539-0342
(304) 202-7879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
135
WV
101YP2500X
Professional Counselor
2594
TN
Other
Enumeration date
10/03/2012
Last updated
03/27/2026
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