Individual
SHANNON BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
512 W 750 S STE A, WOODS CROSS, UT 84010-7221
(801) 935-8449
Mailing address
982 E 1350 S APT G301, CLEARFIELD, UT 84015-2670
(773) 865-6866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1419178-6009
UT
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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