person
Larissa Bustamante
Mental Health Counselor in Des Moines, Iowa
NPI 1053861260

Larissa Bustamante is a Mental Health Counselor based in Des Moines, IA and is specialized in Mental Health. Larissa Bustamante practices in Des Moines, IA. The NPI Number for Larissa Bustamante is 1053861260 and holds a License No. 083876 (Iowa).

The current practice location address for Larissa Bustamante is 3812 Ingersoll Ave Ste 100, Des Moines, IA and can be reached out via phone at 515-255-2500.

Location: 3812 Ingersoll Ave Ste 100, Des Moines, IA, 50312
person
Provider Profile Details
NPI Number
1053861260
Provider Name
Larissa Bustamante
Credential
Provider Entity Type
Individual
Gender
Female
Address
3812 Ingersoll Ave Ste 100, Des Moines, IA, 50312
Phone Number
515-255-2500
Fax Number
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3812 Ingersoll Ave Ste 100
City
State
Zip
50312-3400
Phone Number
515-255-2500
Fax Number
person
Provider Business Mailing Address Details
Address
3812 Ingersoll Ave Ste 100
City
State
Zip
50312-3400
Phone Number
515-255-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
083876 (Iowa)
Definition
Definition to come...
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