Gustafson, Andrea L.

Gustafson, Andrea L. is an sole proprietor health care provider with primary practice located at 1808 Folsom St , Eau Claire WI 54703-2579. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gustafson, Andrea L. can be contacted via phone (715) 404-9031.

Contact Information

Primary practice address
1808 Folsom St Eau Claire WI 54703-2579
Phone: (715) 404-9031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7649-123 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 4982-146 Wisconsin

Profile Details

NPI number 1346451523
LBN Legal business name Gustafson, Andrea L.
Credentials L.C.S.W., L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2007
Last updated Nov 10th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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