Jan Bussell
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Marshall, TX
NPI 1386130201 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1386130201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 13341 (TX)
- Practice address
- 1204 Harper Dr
Marshall, TX 75672-5712 - Phone
- (512) 497-6541
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McEt-Waskom Limited Liability Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13341 | TX | Yes |
Addresses
Primary practice location
1204 Harper Dr
Marshall, TX 75672-5712
Mailing address
670 Spur 156
Waskom, TX 75692-9129
Phone (903) 687-2586
Other providers in Marshall, TX
- Brookshire Grocery Company
- Gary Reed Brouillette
- Nora Jeannette Brown
- Bruce a Hale
- Kristin Burgess
- Kimberly Calderon
- Kyle Christopher Campbell
- Care First Physicians PA
- Carl R Turner
- Latonya Carter
All providers in Marshall, TX · Addiction (Substance Use Disorder) Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.