Individual
BOBBI J BUSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
5843 N 90TH, OMAHA, NE 68134
(402) 573-5801
Mailing address
3980 N 104TH COURT, APT 101, OMAHA, NE 68134
(402) 805-2619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P593
NE
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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