Individual
ALLEN BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 MCLAIN ST, NEWPORT, AR 72112-3662
(870) 495-1990
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1503029
AR
Other
Enumeration date
11/23/2009
Last updated
08/20/2020
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