Ms Tanya L Gustafson, LAMFT | |
1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 | |
(678) 468-9103 | |
(520) 333-2906 |
Full Name | Ms Tanya L Gustafson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1815 Old 41 Hwy Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407280456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT001356 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Tanya L Gustafson, LAMFT 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 Ph: (678) 468-9103 | Ms Tanya L Gustafson, LAMFT 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152-4420 Ph: (678) 468-9103 |
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› Verified 3 days ago
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