Gustavson-Dufour, Jennifer Ann

Gustavson-Dufour, Jennifer Ann is an sole proprietor health care provider with primary practice located at 5655 Ardilla Ave , Atascadero CA 93422-3222. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gustavson-Dufour, Jennifer Ann can be contacted via phone (805) 464-4660.

Contact Information

Primary practice address
5655 Ardilla Ave Atascadero CA 93422-3222
Phone: (805) 464-4660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 98554 California

Profile Details

NPI number 1235498353
LBN Legal business name Gustavson-Dufour, Jennifer Ann
Credentials LMFT #98554
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2012
Last updated Sep 12th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235498353 NPPES
California Other 98554 LICENSED MARRIAGE AND FAMILY THERAPIST

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