Individual
NICOLE MARIE BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
397 EAGLEVIEW BLVD STE 120, EXTON, PA 19341-1150
(610) 422-3064
(484) 870-9846
Mailing address
397 EAGLEVIEW BLVD STE 120, EXTON, PA 19341-1150
(610) 422-3064
(484) 870-9846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MF001212
PA
Other
Enumeration date
03/07/2019
Last updated
07/31/2024
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