Provider Demographics
NPI:1851727515
Name:BUSSA, JANINE E (MS, LMHC, ATR)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:E
Last Name:BUSSA
Suffix:
Gender:F
Credentials:MS, LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 N. 45TH STREET #109
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:608-217-8949
Mailing Address - Fax:
Practice Address - Street 1:2319 N 45TH ST STE 109
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6958
Practice Address - Country:US
Practice Address - Phone:608-217-8949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60331374101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor