LARISSA BUSTAMANTE

URBANDALE, IA
NPI1053861260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  083876)
Enumeration Date2016-10-12
Last Update Date2025-05-16
Business Address
LARISSA BUSTAMANTE
14609 WESTBROOK DR
URBANDALE, IA 50323-2411
Phone number: 515-650-3085
Mailing Address
LARISSA BUSTAMANTE
14609 WESTBROOK DR
URBANDALE, IA 50323-2411
Phone number: 515-650-3085
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