Individual
JASON BUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, ABCP,
Contact information
Practice address
9 DUNWOODY PARK STE 136, DUNWOODY, GA 30338-6796
(404) 594-0625
Mailing address
1320 VALLEY VIEW RD, ATLANTA, GA 30338-4823
(404) 594-0625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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