Doctor Name: | MS. ANNETTE MARIE BUSFIELD |
NPI Number: | 1164856142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. COUNSELING |
License Number: | IMH8841 LICENSED INT |
Business Practice Address: | 3697 Se 138th St Summerfield, FL - 344912348 |
Business Phone Number: | 3526938777 |
Business Fax Number: | |
Mailing Address: | 3697 Se 138th St, SUMMERFIELD |
State: | FL |
Postal Code: | 344912348 |
Phone Number: | 3526938777 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2013 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMH8841 LICENSED INT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |