Individual
SHAUNTIS L BUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39520 MURRIETA HOT SPRINGS RD STE 219-2002, MURRIETA, CA 92563-7713
(760) 573-8164
Mailing address
39520 MURRIETA HOT SPRINGS RD STE 219-2002, MURRIETA, CA 92563-7713
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2015
Last updated
03/26/2022
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