Individual
CHAD BUSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 NIAGARA ST, OSWEGO, NY 13126-3853
(707) 245-3405
Mailing address
84 NIAGARA ST, OSWEGO, NY 13126-3853
(707) 245-3405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010761
NY
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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