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LISA GUSTAFSON, MS/LCPC

MS/LCPC

Professional Counselor

NPI: 1962666875IndividualAccepts Medicare

Specialties, Licenses & Credentials

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

180.004529(IL)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 1997

Contact & Hours

Address
424 W MADISON ST
OTTAWA, IL 61350

Quick Facts

NPI
1962666875
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
29

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