Amy Gustafson is a Counselor in Freeport, Illinois. Amy Gustafson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Amy Gustafson is 1891866422. The last update date is 2007-07-08.
Amy Gustafson's current location address is 421 W Exchange St, Freeport, Illinois. You can contact this provider via phone number 8155997300. The mailing address for Amy Gustafson is 421 W Exchange St, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Gustafson |
|---|---|
| Address | 421 W Exchange St, Freeport, Illinois |
| Phone Number | 8155997300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891866422 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 421 W Exchange St |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610324030 |
| Phone Number | 8155997300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identification code assigned to Amy Gustafson by the Centers for Medicare & Medicaid Services?
The Amy Gustafson has been issued the NPI (National Provider Identifier) 1891866422. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Amy Gustafson is located?
The Amy Gustafson is situated at the following address: 421 W Exchange St, Freeport, IL, 610324030.
What is Amy Gustafson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amy Gustafson's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
When was the Amy Gustafson's 1891866422 issued?
The Amy Gustafson's 1891866422 was issued on 2006-11-13.
As of what date were the details related to Amy Gustafson most recently updated or revised?
The information pertaining to Amy Gustafson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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