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Individual

KIMBERLY BUSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., M.A., LPCC

Contact information

Practice address
6001 EGAN DR STE 170, SAVAGE, MN 55378-4919
(612) 219-8633
(612) 930-0111
Mailing address
916 ARABIAN DR, JORDAN, MN 55352-3406
(612) 219-8633

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001314
MN
101YM0800X
Mental Health Counselor
01665
MN

Other

Enumeration date
03/12/2015
Last updated
04/15/2022
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