Individual
JAIR BUESTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900
(541) 393-0777
(541) 687-9279
Mailing address
5306 MILLIE CT, PANAMA CITY, FL 32404-3836
(310) 869-4261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T266494
OR
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
09/16/2025
Last updated
03/06/2026
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