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

Individual provider Mental Health Counselor · NPI 1093230369

Tracy Elaine Gustafson, MA is a Mental Health Counselor in Pawtucket, Rhode Island. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone: (401) 724-8400
Fax: (401) 724-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1093230369
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedAugust 8, 2017
Last updated in NPPESAugust 8, 2017

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