| Doctor Name: | JAMES EDWARD BUSTAMANTE |
| NPI Number: | 1134316003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LMHC |
| License Number: | 00424 |
| Business Practice Address: | 6949 University Ave Windsor Heights, IA - 503241540 |
| Business Phone Number: | 5153212982 |
| Business Fax Number: | 8666720706 |
| Mailing Address: | 6949 University Ave, WINDSOR HEIGHTS |
| State: | IA |
| Postal Code: | 503241540 |
| Phone Number: | 5153212082 |
| Fax Number: | 8666720706 |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 07/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |