Individual provider · Type 1 NPI
Susan Bushek, MPS, LPCC, LADC
Mental Health Counselor · St. Paul, MN
NPI number
1285171108
Active
Practice location
1650 Carroll Ave
St. Paul, MN 55104-5227
Fax (763) 789-4798
Mailing address
11005 Oak Grove Circle, Unit B
Woodbury, MN 55129
Other practice locations
- 7766 Highway 65 NE, Spring Lake Park, MN 55432-2868 · (763) 789-4895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303614 (MN) |
| Professional Counselor | 101YP2500X | 1197 (MN) |
| Mental Health Counselor Primary | 101YM0800X | 1197 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1285171108
Susan Bushek, MPS, LPCC, LADC's National Provider Identifier is 1285171108, issued on Jan 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Mar 17, 2018.