Bussell, Jennifer

Bussell, Jennifer is an sole proprietor health care provider with primary practice located at 1733 Woodstead Ct , The Woodlands TX 77380-3401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bussell, Jennifer can be contacted via phone (760) 207-1879.

Contact Information

Primary practice address
1733 Woodstead Ct The Woodlands TX 77380-3401
Phone: (760) 207-1879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12535 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 70831 Texas

Profile Details

NPI number 1679982961
LBN Legal business name Bussell, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2014
Last updated Sep 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679982961 NPPES
Texas MEDICAID 344779901

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