RICHARD L. GUSTAFSON

ANCHORAGE, AK
NPI1902198872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AK  527)
Enumeration Date2011-05-10
Last Update Date2013-07-22
Business Address
-- RICHARD L. GUSTAFSON LPC
4320 DIPLOMACY DR SUITE 1500
ANCHORAGE, AK 99508-5925
Phone number: 907-729-2500
Mailing Address
-- RICHARD L. GUSTAFSON LPC
4501 DIPLOMACY DR ATTN: PROVIDER ENROLLMENT SERVICES
ANCHORAGE, AK 99508-5919
Phone number: 907-729-8624
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