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Individual

SHEA LYNN BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, LMHC

Contact information

Practice address
904 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 630-7222
(765) 630-7905
Mailing address
904 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 630-7222

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003019A
IN
106H00000X
Marriage & Family Therapist

Other

Enumeration date
07/29/2013
Last updated
02/05/2021
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