Individual
DAVID VANBUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 OAKVIEW TER, MAPLEWOOD, MO 63143-2214
(814) 574-3251
Mailing address
2640 OAKVIEW TER, MAPLEWOOD, MO 63143-2214
(814) 574-3251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021030513
MO
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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