Individual
CARRIE P BUSSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
808 S ELDORADO RD STE 400, BLOOMINGTON, IL 61704-6068
(309) 585-0241
Mailing address
808 S ELDORADO RD STE 400, BLOOMINGTON, IL 61704-6068
(309) 585-0241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005335
IL
Other
Enumeration date
04/24/2011
Last updated
12/16/2025
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