Individual
MS. SARAH L BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
900 GOLF AVE SW, PINE CITY, MN 55063-5015
(320) 629-7600
(651) 925-0071
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(651) 925-0071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3663-125
WI
101YP2500X
Professional Counselor
Primary
00968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245405539
—
MN
05
—
40933000
—
WI
Enumeration date
04/28/2008
Last updated
12/07/2023
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