Busenbark, Madisen Elise

Busenbark, Madisen Elise is an individual health care provider with primary practice located at 10432 S 4000 W Ste B105 , South Jordan UT 84009-5729. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Busenbark, Madisen Elise can be contacted via phone (435) 610-1676.

Contact Information

Primary practice address
10432 S 4000 W Ste B105 South Jordan UT 84009-5729
Phone: (435) 610-1676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12086440-3904 Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 12086440-3904 Utah

Profile Details

NPI number 1447841283
LBN Legal business name Busenbark, Madisen Elise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2021
Last updated Feb 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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