| Doctor Name: | MS. GAIL ELIZABETH GUSTAFSON |
| NPI Number: | 1366572554 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 23712 |
| Business Practice Address: | 150 Davie St Pittsboro, NC - 273128833 |
| Business Phone Number: | 9197714535 |
| Business Fax Number: | |
| Mailing Address: | Po Box 531, PITTSBORO |
| State: | NC |
| Postal Code: | 273120531 |
| Phone Number: | 9197714535 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 09/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 23712 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |