Most Relevant Information
Provider Data
| NPI Number: | 1003466731 |
| Provider Name: | JOSUE BUSTOS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW-17968 |
Most Important Dates
| Enumeration Date: | 09/15/2019 |
| Last Updated: | 06/19/2023 |
Provider Practice Location
1101 N CENTRAL AVE STE 200
PHOENIX
AZ
850041844
Practice Location Phone/Fax
| Phone: | 6023075330 |
| Fax: | 6023075021 |
Provider Mailing Location
1101 N CENTRAL AVE STE 200
PHOENIX
AZ
850041844
Provider Mailing Phone/Fax
| Phone: | 6023075330 |
| Fax: | 6023075021 |