Provider Demographics
NPI:1013697317
Name:BUSS, ASHLEE LAUREN (LMFT)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:LAUREN
Last Name:BUSS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SOUTHWIND PL STE 2D
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3161
Mailing Address - Country:US
Mailing Address - Phone:785-473-1726
Mailing Address - Fax:
Practice Address - Street 1:210 SOUTHWIND PL STE 2D
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3161
Practice Address - Country:US
Practice Address - Phone:785-473-1726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03554106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist