Individual
MS. JANET R BUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
7248 GOLD RUN DR, OAKDALE, CA 95361
(209) 847-9326
(209) 847-9326
Mailing address
7248 GOLD RUN DR, OAKDALE, CA 95361
(209) 847-9326
(209) 847-9326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFC32784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ47941Z
BLUE SHIELD
CA
Enumeration date
07/29/2006
Last updated
07/08/2007
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