Individual
BRONSON BUSKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 N PINES RD STE 102, SPOKANE VALLEY, WA 99206-5225
(509) 892-1100
Mailing address
3319 N WATERWOOD LN, COEUR D ALENE, ID 83814-9039
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61515473
WA
Other
Enumeration date
03/14/2024
Last updated
06/06/2024
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