MS. LISA KAY GUSTAFSON MS/LCPC NPI 1962666875

NPI Information

NPI: 1962666875
Provider Name: MS. LISA KAY GUSTAFSON, MS/LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
424 W MADISON ST
OTTAWA, IL
ZIP 61350
Phone: (815) 431-3022
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MS. Lisa Kay Gustafson, MS/LCPC is a professional counselor in Ottawa, IL. MS. Lisa Kay Gustafson, MS/LCPC NPI is 1962666875. 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:

424 W MADISON ST
OTTAWA, IL
ZIP 61350-833
Phone: (815) 431-3022
Fax: (815) 433-3980

The enumeration date for this NPI number is 7/10/2008 and was last updated on 7/10/2008.

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	180.004529	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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