Individual
MISS AIMEE J BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. , N.C.C., LPC
Contact information
Practice address
2200 VETERANS MEMORIAL BLVD, SUITE 105, KENNER, LA 70062-4001
(504) 305-4704
Mailing address
2200 VETERANS MEMORIAL BLVD, SUITE 105, KENNER, LA 70062-4001
(504) 305-4704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
79797
LA
101YP2500X
Professional Counselor
Primary
3356
LA
Other
Enumeration date
02/28/2007
Last updated
08/17/2015
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