Ilian Bustos
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wilmington, DE
NPI 1467503201 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467503201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2713 Lancaster Ave
Wilmington, DE 19805-5220 - Phone
- (302) 656-2348
- Fax
- (302) 656-0746
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2713 Lancaster Ave
Wilmington, DE 19805-5220
Mailing address
2713 Lancaster Ave
Wilmington, DE 19805-5220
Phone (302) 656-2348
Other providers in Wilmington, DE
- April Michelle Bush
- Dolores Maria Bush I
- Russel Damien Buskirk
- Gordon A Bussard
- Kalisandra G Bussey
- Colleen Butcher
- Stephanie Butler
- Julie A. Buzzelli
- BW Family Medical Center
- By the River Counseling and Wellness LLC
All providers in Wilmington, DE · Addiction (Substance Use Disorder) Counselor in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.