Individual
DANIELLE BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
Mailing address
19 MC CUE LN, BABYLON, NY 11702-3001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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