Perez-Bustillo, Estela Cecilia

Perez-Bustillo, Estela Cecilia is an individual health care provider with primary practice located at 150 Market St 2Nd Fl., Lynn MA 01901-1529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Perez-Bustillo, Estela Cecilia can be contacted via phone (781) 592-6100.

Contact Information

Primary practice address
150 Market St 2Nd Fl. Lynn MA 01901-1529
Phone: (781) 592-6100
Fax: (781) 592-1093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1029988 Massachusetts

Profile Details

NPI number 1760535678
LBN Legal business name Perez-Bustillo, Estela Cecilia
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760535678 NPPES
Massachusetts MEDICAID 1893084

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