person
Ms. Mavis A Bush
Addiction (Substance Use Disorder) Counselor in Canton, New York
NPI 1043400658

Mavis A Bush is an Addiction (Substance Use Disorder) Counselor based in Canton, NY and is specialized in Addiction (Substance Use Disorder). Mavis A Bush practices in Canton, NY. The NPI Number for Mavis A Bush is 1043400658 and holds a License No. (New York).

The current practice location address for Mavis A Bush is 80 State Highway 310, Canton, NY and can be reached out via phone at 315-386-2189 and via fax at 315-386-2435.

Location: 80 State Highway 310, Canton, NY, 13617-1493
person
Provider Profile Details
NPI Number
1043400658
Provider Name
Mavis A Bush
Credential
Provider Entity Type
Individual
Gender
Female
Address
80 State Highway 310, Canton, NY, 13617-1493
Phone Number
315-386-2189
Fax Number
315-386-2435
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80 State Highway 310
City
State
Zip
13617-1493
Phone Number
315-386-2189
Fax Number
315-386-2435
person
Provider Business Mailing Address Details
Address
80 State Highway 310
City
State
Zip
13617-1493
Phone Number
315-386-2189
Fax Number
315-386-2435
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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