KRISTEN K GUSTAFSON
NPI 1376663930
Counselor - Mental Health in Oklahoma City, OK
Active since March 29, 2007
About Kristen K Gustafson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN K GUSTAFSON (NPI 1376663930) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1376663930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTEN K GUSTAFSON
Location Address105 SE 45TH STOklahoma City, OK 73129-3201
Mailing Address105 Se 45th StOklahoma City, OK 73129-3201 · (405) 634-4400 · Fax (405) 632-1976
Phone(405) 634-4400
Fax(405) 632-1976
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376663930 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 SE 45TH ST, Oklahoma City, OK 73129
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Nurse Practitioner (Psychiatric/Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
OKLAHOMA CITY, OK 73129
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376663930, enumerated as an "individual" on March 29, 2007.
The provider is located at 105 SE 45TH ST OKLAHOMA CITY, OK 73129 and the phone number is (405) 634-4400.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.