Individual
ERICA BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
805 S CASCADE AVE, COLORADO SPRINGS, CO 80903-4101
(719) 473-9200
Mailing address
805 S CASCADE AVE, COLORADO SPRINGS, CO 80903-4101
(719) 473-9200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CO
103G00000X
Clinical Neuropsychologist
Primary
—
CO
Other
Enumeration date
06/21/2016
Last updated
08/30/2016
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