Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Tanya L Gustafson, LAMFT

Individual provider Marriage & Family Therapist · NPI 1407280456

MS. Tanya L Gustafson, LAMFT is a Marriage & Family Therapist in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013

Practice location Address checks out

1815 Old 41 Hwy NW Ste 110
Kennesaw, GA 30152-4420
Phone: (678) 468-9103
Fax: (520) 333-2906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFT001356 (GA)

Record details

NPI number1407280456
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAMFT
Sole proprietorYes
NPI enumeratedAugust 27, 2013
Last updated in NPPESSeptember 22, 2014

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