Individual
MRS. HEATHER MARIE BUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11212 DAVENPORT, OMAHA, NE 68154
(402) 963-9699
(402) 552-7016
Mailing address
2624 N 112TH AVENUE, OMAHA, NE 68164
(402) 965-3948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8132
NE
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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