MR. MICHAEL EARL BUSSERT BA, CDCA
NPI 1386155414
Counselor - Addiction (Substance Use Disorder) in Shelby, OH
Active since October 16, 2017
About Mr. Michael Earl Bussert Ba, Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL EARL BUSSERT BA, CDCA (NPI 1386155414) is an individual addiction (substance use disorder) provider in Shelby, Ohio, licensed in Ohio (CDCA.060432) and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1386155414
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL EARL BUSSERTCredential: BA, CDCA
Location Address2775 STATE ROUTE 39Shelby, OH 44875-9466
Mailing Address2775 State Route 39Shelby, OH 44875-9466 · (419) 747-3322 · Fax (419) 747-3504
Phone(419) 747-3322
Fax(419) 747-3504
Sole ProprietorNo
Enumeration DateOctober 16, 2017
✔ NPI 1386155414 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.060432
2775 STATE ROUTE 39, Shelby, OH 44875
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
SHELBY, OH 44875
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
SHELBY, OH 44875
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
2775 STATE ROUTE 39
SHELBY, OH 44875
SHELBY, OH 44875
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386155414, enumerated as an "individual" on October 16, 2017.
The provider is located at 2775 STATE ROUTE 39 SHELBY, OH 44875 and the phone number is (419) 747-3322.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
