Anita Bussing, LMFT

Individual provider Active NPI Marriage & Family Therapist · Avalon, CA

NPI 1114042140 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114042140
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 43080 (CA)
Practice address
125 Metropole Ave.
Avalon, CA 90704
Phone
(310) 510-7503
Fax
(310) 510-8986
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC 43080CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 43080 CA Yes

Addresses

Primary practice location

125 Metropole Ave.
Avalon, CA 90704

Mailing address

3711 Long Beach Blvd
Suite 600
Long Beach, CA 90807-3315
Phone (310) 510-7503

Other providers in Avalon, CA

All providers in Avalon, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.