Katherine Bussen, LCSW
Social Worker, Clinical in Saint Louis, MO. Individual provider (NPI-1).
NPI number1679080758
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1679080758
- Entity type
- Individual (NPI-1)
- Name
- Katherine Bussen
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2018
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2012015433 | MO | Yes |
| 104100000X | Social Worker | 2012015433 | MO |
Practice location
970 Executive Parkway DrSaint Louis, MO 63141-6302
Phone 314-628-6500
Mailing address
970 Executive Parkway DrSaint Louis, MO 63141-6302
Phone 314-628-6500
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