Individual
JACOB WILLIAM BUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MA, NCC
Contact information
Practice address
5000 JOHNSON DR STE B, ROELAND PARK, KS 66205-2922
(785) 230-8538
Mailing address
5000 JOHNSON DR STE B, ROELAND PARK, KS 66205-2922
(785) 230-8538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04353
KS
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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