Stephanie Brooke Gustafson, MA | |
2059 Oakhurst Dr., Charleston, WV 25309 | |
(304) 744-5000 | |
Not Available |
Full Name | Stephanie Brooke Gustafson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2059 Oakhurst Dr., Charleston, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891047783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 135 (West Virginia) | Primary |
101YP2500X | Counselor - Professional | 2594 (Tennessee) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Stephanie Brooke Gustafson, MA Po Box 58275, Charleston, WV 25358-0275 Ph: (304) 744-5000 | Stephanie Brooke Gustafson, MA 2059 Oakhurst Dr., Charleston, WV 25309 Ph: (304) 744-5000 |
Jatue Richardson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
James M Jackson, COUNSELOR 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
Jill Leean Woodrum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 | |
Denise Briscoe, MA, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 | |
Hope Hartz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1632 Kanawha Blvd E, Charleston, WV 25311 Phone: 304-344-8515 | |
Ethel Austin, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-245-9753 Fax: 304-344-3503 | |
Khadija Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 |