Individual
DR. NOAH BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, BCB
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, MENTAL HEALTH SERVICE 116, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30692
CA
Other
Enumeration date
10/08/2018
Last updated
03/20/2019
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