Provider Demographics
NPI:1134690886
Name:BUSSETTI, FRANCISCO (PLCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:BUSSETTI
Suffix:
Gender:M
Credentials:PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 PANORAMA PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-2128
Mailing Address - Country:US
Mailing Address - Phone:505-480-9834
Mailing Address - Fax:
Practice Address - Street 1:317 PANORAMA PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-2128
Practice Address - Country:US
Practice Address - Phone:505-480-9834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-09519104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker