Individual
AMY HELENA BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC 1, MED
Contact information
Practice address
23 NEPONSET AVE, BOSTON, MA 02136-3432
(617) 823-6301
Mailing address
23 NEPONSET AVE, BOSTON, MA 02136-3432
(617) 823-6301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23390
MA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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