Provider Demographics
NPI:1386156438
Name:BUSKIRK FEE, TAMMY SUE (CDCA)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:SUE
Last Name:BUSKIRK FEE
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:SUE
Other - Last Name:HETTINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33720 STATE ROUTE 683
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-8657
Mailing Address - Country:US
Mailing Address - Phone:740-703-6290
Mailing Address - Fax:
Practice Address - Street 1:196 E EMMITT AVE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1334
Practice Address - Country:US
Practice Address - Phone:740-912-9499
Practice Address - Fax:740-835-8692
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.162435101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)