Individual provider · Type 1 NPI

Carissa Bussard

Mental Health Counselor · Prineville, OR

NPI number 1730666496 Active

Practice location

1103 NE Elm St Ste B
Prineville, OR 97754-1664

Call (541) 323-5330 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730666496

Carissa Bussard's National Provider Identifier is 1730666496, issued on Jul 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prineville, OR. The record was last updated on Jul 25, 2018.