person
Michael D Bush, LPC
Professional Counselor in Lebanon, Virginia
NPI 1114967080

Michael D Bush is a Professional Counselor based in Cedar Bluff, VA and is specialized in Professional. Michael D Bush practices in Lebanon, VA and has the professional credentials of LPC. The NPI Number for Michael D Bush is 1114967080 and holds a License No. 0701003280 (Virginia).

The current practice location address for Michael D Bush is 160 Rogers St, Lebanon, VA and can be reached out via phone at 276-889-3785 and via fax at 276-889-2842.

Location: 160 Rogers St, Lebanon, VA, 24609-0810
person
Provider Profile Details
NPI Number
1114967080
Provider Name
Michael D Bush
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
160 Rogers St, Lebanon, VA, 24609-0810
Phone Number
276-889-3785
Fax Number
276-889-2842
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173787 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
160 Rogers St
City
State
Zip
24266-4500
Phone Number
276-889-3785
Fax Number
276-889-2842
person
Provider Business Mailing Address Details
Address
160 Rogers St
City
State
Zip
24266-4500
Phone Number
276-889-3785
Fax Number
276-889-2842
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003280 (Virginia)
Definition
Definition to come...
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