Individual
COREY BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
1229 TYLER ST NE, MINNEAPOLIS, MN 55413-4614
(612) 259-7384
Mailing address
5340 ALDRICH AVE S, MINNEAPOLIS, MN 55419-1242
(612) 518-5042
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3101
MN
Other
Enumeration date
03/24/2015
Last updated
04/20/2021
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