Carrie P Bussmann
Professional Counselor
706 Oglesby Ave Ste 112
Normal
, Illinois 61761-4616
Carrie P Bussmann
Professional Counselor
706 Oglesby Ave Ste 112
Normal
, Illinois 61761-4616
(309) 585-0241
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Carrie P Bussmann
- 706 Oglesby Ave Ste 112
- Normal, IL
- Zip : 61761-4616
- Phone : (309) 585-0241
Second Address
- Carrie P Bussmann
- 706 Oglesby Ave Ste 112
- Normal, IL
- Zip : 61761-4616
- Phone : (309) 585-0241
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 180005335 | IL |
National Provider Identifier
| NPI | 1003107145 |
|---|---|
| Provider Name | Carrie P Bussmann |
| First Address | Normal, IL 61761-4616 |
| Second Address | Normal, IL 61761-4616 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2011 |
| Last Update Date | 15/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.