Individual provider · Type 1 NPI

Corey L. Bussiere, MA, MED/EDS

Mental Health Counselor · Orlando, FL

NPI number 1104579432 Active

Practice location

5749 Westgate Dr Ste 102
Orlando, FL 32835-5040

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH22036 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1104579432

Corey L. Bussiere, MA, MED/EDS's National Provider Identifier is 1104579432, issued on Jan 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Jan 27, 2022.