Individual
CEDRIC A BUSSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
925 175TH ST STE 5, HOMEWOOD, IL 60430-2048
(773) 570-1266
Mailing address
3064 190TH ST, LANSING, IL 60438-3473
(773) 597-8544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180017181
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
180017181
IL
101YM0800X
Mental Health Counselor
180017181
IL
101YP2500X
Professional Counselor
180017181
IL
Other
Enumeration date
06/26/2025
Last updated
07/29/2025
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