Gustafson, Lisa Kay

Gustafson, Lisa Kay is an individual health care provider with primary practice located at 424 W Madison St , Ottawa IL 61350-2833. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gustafson, Lisa Kay can be contacted via phone (815) 431-3022.

Contact Information

Primary practice address
424 W Madison St Ottawa IL 61350-2833
Phone: (815) 431-3022
Fax: (815) 433-3980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.004529 Illinois

Profile Details

NPI number 1962666875
LBN Legal business name Gustafson, Lisa Kay
Credentials MS/LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers