person
Diane Marie Bush, CADC,LPCC,NCC
Mental Health Counselor in Louisville, Kentucky
NPI 1205425253

Diane Marie Bush is a Mental Health Counselor based in Louisville, KY and is specialized in Mental Health. Diane Marie Bush practices in Louisville, KY and has the professional credentials of CADC,LPCC,NCC. The NPI Number for Diane Marie Bush is 1205425253 and holds a License No. 164184 (Kentucky).

The current practice location address for Diane Marie Bush is 105 Daventry Ln Ste 200, Louisville, KY and can be reached out via phone at 502-510-3947.

Location: 105 Daventry Ln Ste 200, Louisville, KY, 40272-5018
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Provider Profile Details
NPI Number
1205425253
Provider Name
Diane Marie Bush
Credential
CADC,LPCC,NCC
Provider Entity Type
Individual
Gender
Female
Address
105 Daventry Ln Ste 200, Louisville, KY, 40272-5018
Phone Number
502-510-3947
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100818890 05 KY
institution
Provider Business Practice Location Address Details
Address
105 Daventry Ln Ste 200
City
State
Zip
40223-3874
Phone Number
502-510-3947
Fax Number
person
Provider Business Mailing Address Details
Address
105 Daventry Ln Ste 200
City
State
Zip
40223-3874
Phone Number
502-510-3947
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
264319 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
164184 (Kentucky)
Definition
Definition to come...
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