Individual
MRS. DAWN E VANBUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7205 HUMPHREY RD, VANCLEAVE, MS 39565-7806
(228) 233-6762
Mailing address
7205 HUMPHREY RD, VANCLEAVE, MS 39565-7806
(228) 233-6762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C9300
MS
Other
Enumeration date
03/22/2022
Last updated
07/26/2022
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