Individual
GREGORY C BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 896-0585
Mailing address
12400 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-4156
(304) 224-5099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I-0031470
OH
1041C0700X
Clinical Social Worker
DP00942870
WV
1041C0700X
Clinical Social Worker
Primary
I08401
NM
Other
Enumeration date
08/19/2006
Last updated
09/18/2013
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