Bushong, Debra Moore

Bushong, Debra Moore is an sole proprietor health care provider with primary practice located at 6060 N Central Expy Ste 500 , Dallas TX 75206-5249. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bushong, Debra Moore can be contacted via phone (469) 727-8255.

Contact Information

Primary practice address
6060 N Central Expy Ste 500 Dallas TX 75206-5249
Phone: (469) 727-8255
Fax: (214) 764-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 59919 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 59919 Texas
Agencies / Early Intervention Provider Agency 252Y00000X 59919 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 59919 Texas

Profile Details

NPI number 1063624690
LBN Legal business name Bushong, Debra Moore
Credentials LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Mar 18th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063624690 NPPES
Texas Other 59919 TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

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