| NPI | 1215312244 |
|---|---|
| Professional Name | CHARLES BUSSISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 0120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0042) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |