Individual
SEAN BUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6152
(218) 362-6151
Mailing address
1520 MERRYVIEW LN, HIBBING, MN 55746-3480
(218) 969-2523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305234
MN
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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