Individual
KIMBERLY BUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
203 SUMMER GLEN LN, SAINT CHARLES, MO 63301-3818
(314) 602-5245
Mailing address
203 SUMMER GLEN LN, SAINT CHARLES, MO 63301-3818
(314) 602-5245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2013044075
MO
101YP2500X
Professional Counselor
Primary
2013044075
MO
Other
Enumeration date
05/29/2014
Last updated
10/11/2023
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