| Doctor Name: | CHARLES BUSSISON |
| NPI Number: | 1215312244 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0042 |
| Business Practice Address: | 75 Gilcreast Rd Londonderry, NH - 030533564 |
| Business Phone Number: | 6034348040 |
| Business Fax Number: | 6034323371 |
| Mailing Address: | 75 Gilcreast Rd, LONDONDERRY |
| State: | NH |
| Postal Code: | 030533564 |
| Phone Number: | 6034348040 |
| Fax Number: | 6034323371 |
| NPI Enumeration Date: | 07/20/2015 |
| NPI Last Update Date: | 07/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0042 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |