Individual
MADISEN ELISE BUSENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 E 300 S STE 106, AMERICAN FORK, UT 84003-3845
(801) 980-2566
Mailing address
5094 E BIG SKY WAY, EAGLE MOUNTAIN, UT 84005-4878
(435) 256-0056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12086440-3904
UT
106H00000X
Marriage & Family Therapist
Primary
12086440-3904
UT
Other
Enumeration date
02/02/2021
Last updated
11/14/2025
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