Individual provider · Type 1 NPI

Issac Manuel Bustamante

Mental Health Counselor · El Cajon, CA

NPI number 1912558123 Active

Practice location

1664 Broadway
El Cajon, CA 92021-5201

Mailing address

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Other practice locations

  • 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 · (831) 469-1700
  • 5005 Texas St Ste 203, San Diego, CA 92108-3723 · (619) 692-0727

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912558123

Issac Manuel Bustamante's National Provider Identifier is 1912558123, issued on Sep 28, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in El Cajon, CA. The record was last updated on Jul 11, 2023.