Individual
MRS. JANICE KAY BUSHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1206066
AR
101YM0800X
Mental Health Counselor
—
AR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2018043703
MO
101YP2500X
Professional Counselor
P1206066
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5AC99
BCBS
AR
Enumeration date
09/15/2008
Last updated
06/02/2022
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