SearchIdaho104100000X

Roberta Gustafson, LMSW

NPI 1427413798 · on the registry since 2015 · sole proprietor

Practice

Address
1501 Bench Rd
Pocatello, ID 83201
Phone
(208) 242-3044
Organisation at this address
Redford Counseling And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho