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NPI Code Detail

MEDICARE: JUSTIN EDUARD BUSTAMANTE LPC-ASSOCIATE

MEDICARE: JUSTIN EDUARD BUSTAMANTE LPC-ASSOCIATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor86082TX

General Provider Information

NPI Number : 1013652007
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN EDUARD BUSTAMANTE LPC-ASSOCIATE
Provider Business Mailing Address
First Line : 401 BRANARD ST FL 2
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5015
Country : US
Telephone Number : 713-529-0037
Fax Number :
Provider Business Practice Location Address
First Line : 401 BRANARD ST FL 2
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5015
Country : US
Telephone Number : 713-529-0037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 02/23/2026

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Directions to “ JUSTIN EDUARD BUSTAMANTE LPC-ASSOCIATE” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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