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Individual

DR. CHANTAL BUSHELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1155 KELLY JOHNSON BLVD STE 111, COLORADO SPRINGS, CO 80920-3957
(917) 443-5064
Mailing address
2420 HOLLY RIDGE CT, CLERMONT, FL 34711-7713

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0006109
CO

Other

Enumeration date
11/26/2014
Last updated
01/01/2024
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