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NPI Code Detail

MEDICARE: BUSHRA UPAL LPC

MEDICARE: BUSHRA UPAL LPC
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 CounselorPC012259PA

General Provider Information

NPI Number : 1598376592
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUSHRA UPAL LPC
Provider Business Mailing Address
First Line : 2294 SCHOOL VIEW DR
Second Line :
City : ASBURY
State : IA
Zip : 52002-8220
Country : US
Telephone Number : 814-572-4356
Fax Number :
Provider Business Practice Location Address
First Line : 2000 UNIVERSITY AVE
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5099
Country : US
Telephone Number : 563-589-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “ BUSHRA UPAL LPC” Practice Location

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