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ALLEN BUSBY
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1215265632
Individual Registrant: ALLEN BUSBY
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2005 MCLAIN ST NEWPORT, AR 72112-3662 US
Tel: 870-495-1990 Fax: --
Tel: 870-495-1990 Fax: --
Contact information for business:
2809 FOREST HOME RD JONESBORO, AR 72401-5320 US
Tel: 866-972-1268 Fax: --
Tel: 866-972-1268 Fax: --
Registration Information:
NPI: 1215265632
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | AR | P1503029 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
