Individual
CHRIS BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 CHERRY LN STE 208, MANTECA, CA 95337-4311
(209) 647-6200
(209) 647-6210
Mailing address
302 CHERRY LN STE 208, MANTECA, CA 95337-4311
(209) 647-6200
(209) 647-6210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
04/06/2026
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