Individual
CHARLES BUSSISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 GILCREAST RD, LONDONDERRY, NH 03053-3564
(603) 434-8040
(603) 432-3371
Mailing address
75 GILCREAST RD, LONDONDERRY, NH 03053-3564
(603) 434-8040
(603) 432-3371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0042
NH
101YM0800X
Mental Health Counselor
Primary
0120
NH
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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