Doctor Name: | LINDA K BUSSE |
NPI Number: | 1174891527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LH00011183 |
Business Practice Address: | 345 Knechtel Way Ne Suite 206 Bainbridge Island, WA - 981102860 |
Business Phone Number: | 2063690814 |
Business Fax Number: | |
Mailing Address: | 345 Knechtel Way Ne, Suite 206 BAINBRIDGE ISLAND |
State: | WA |
Postal Code: | 981102860 |
Phone Number: | 2063690814 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00011183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |