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General NPI Number Information
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NPI Number | 1659244416
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Entity Type | Organization
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Legal Business Name | VANBUSKIRK COUNSELING LLC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 2300 HOLCOMB BRIDGE RD STE 103-137
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City | ROSWELL
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State | GA
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Zip | 30076-3481
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Country | US
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Telephone | 484-450-6321
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 HOLCOMB BRIDGE RD STE 103-137
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City | ROSWELL
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State | GA
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Zip | 30076-3481
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE VANBUSKIRK
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Credential | PHD
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Telephone | 610-659-4319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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