Provider Demographics
NPI:1023899465
Name:MUSSER, MARGIELYN
Entity type:Individual
Prefix:
First Name:MARGIELYN
Middle Name:
Last Name:MUSSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGIELYN
Other - Middle Name:
Other - Last Name:BUZZARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC-I
Mailing Address - Street 1:2585 MONTESSOURI ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3041
Mailing Address - Country:US
Mailing Address - Phone:725-214-1313
Mailing Address - Fax:
Practice Address - Street 1:2585 MONTESSOURI ST STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3041
Practice Address - Country:US
Practice Address - Phone:725-214-1313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV07129-I101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)