Individual
CHARLES RYAN BUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8899 BROOKSIDE AVE STE 102, WEST CHESTER, OH 45069-7112
(513) 759-9744
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(404) 313-4079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2406378
OH
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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