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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TANYA L GUSTAFSON, LAMFT

Active Sole Proprietor

MS. TANYA L GUSTAFSON, LAMFT is a Marriage & Family Therapist healthcare provider located in KENNESAW, Georgia. NPI 1407280456 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · KENNESAW, GA

Registration Details

NPI Number
1407280456
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2013 (12.92587487578 yrs)
Last Updated
Sep 22, 2014
License
MFT001356 (GA)
Sole Proprietor
Yes

Practice Information

Address
1815 OLD 41 HWY NW
SUITE 110
KENNESAW, GA, 301524420
Browse GA providers · Browse ZIP 30152
Phone
6784689103
Fax
5203332906
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in KENNESAW, GA

Name Credential NPI
MRS. MADISON TAYLOR WEST 1447539960
MARILYN DIANE PEARCE LMFT, PH.D. 1205170917
DR. ASHLEY JACKSON PH.D. 1629466313
KRISTIN SARAH CHAPMAN MS, LMFT 1811383383
ROXANNA LITOW 1134571631
GWENDOLYN SKINNER LMFT 1225558281
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.