STEPHANIE BROOKE GUSTAFSON M.A. NPI 1891047783

NPI Information

  • NPI: 1891047783
  • Provider Name: STEPHANIE BROOKE GUSTAFSON, M.A.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2059 OAKHURST DR.
    CHARLESTON, WV
    ZIP 25309
  • Phone: (304) 744-5000

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NPI Details

Stephanie Brooke Gustafson, M.A. is a professional counselor in Charleston, WV. Stephanie Brooke Gustafson, M.A. NPI is 1891047783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2059 OAKHURST DR.
CHARLESTON, WV
ZIP 25309
Phone: (304) 744-5000

The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional2594TENNESSEENo
2101YP2500XCounselorProfessional135WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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