Individual
JONATHAN JAY BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1130 S BURR ST STE 200, MITCHELL, SD 57301-4586
(605) 990-6500
Mailing address
1130 S BURR ST STE 200, MITCHELL, SD 57301-4586
(605) 990-6500
(605) 732-8113
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
ORDAINED 248986 2
SD
101YP2500X
Professional Counselor
Primary
LPCMH2422
SD
Other
Enumeration date
10/01/2012
Last updated
11/01/2024
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