Individual
RACHELLE BUSICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
34 S MAIN ST, TOOELE, UT 84074-2132
(435) 843-1677
Mailing address
251 N 1ST ST, TOOELE, UT 84074-2557
(435) 228-5151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
12/29/2022
Last updated
02/17/2025
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