KRISTINE SHIRLEY GUSTAFSON LPC NPI 1932692647

NPI Information

NPI: 1932692647
Provider Name: KRISTINE SHIRLEY GUSTAFSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
123 S MOFFET AVE
JOPLIN, MO
ZIP 64801
Phone: (417) 291-3093
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Kristine Shirley Gustafson, LPC is a professional counselor in Joplin, MO. Kristine Shirley Gustafson, LPC NPI is 1932692647. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 S MOFFET AVE
JOPLIN, MO
ZIP 64801-618
Phone: (417) 291-3093

The enumeration date for this NPI number is 6/8/2018 and was last updated on 6/8/2018.

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
1	101YP2500X	Counselor	Professional	2018002420	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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