Individual provider · Type 1 NPI
Gina Bustin
Addiction (Substance Use Disorder) Counselor · Edmond, OK
NPI number
1043623945
Active
Practice location
4 N Baumann Ave
Edmond, OK 73034-5612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043623945
Gina Bustin's National Provider Identifier is 1043623945, issued on Jun 9, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edmond, OK. The record was last updated on Jun 9, 2014.