Gustafson, Stephanie Brooke
Gustafson, Stephanie Brooke is an sole proprietor health care provider with primary practice located at 2406 Kanawha Blvd E , Charleston WV 25311-2323. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gustafson, Stephanie Brooke can be contacted via phone (304) 539-0342.Contact Information
Primary practice address
2406 Kanawha Blvd E
Charleston WV 25311-2323
Phone: (304) 539-0342
Fax: (304) 202-7879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2594 | Tennessee |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 135 | West Virginia |
Profile Details
| NPI number | 1891047783 |
|---|---|
| LBN Legal business name | Gustafson, Stephanie Brooke |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2012 |
| Last updated | Mar 27th, 2026 - about 7 months 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.
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