person
Kathy Kellogg Bush, LPC
Professional Counselor in Roanoke, Virginia
NPI 1285183665

Kathy Kellogg Bush is a Professional Counselor based in Roanoke, VA and is specialized in Professional. Kathy Kellogg Bush practices in Roanoke, VA and has the professional credentials of LPC. The NPI Number for Kathy Kellogg Bush is 1285183665 and holds a License No. 0701006731 (Virginia).

The current practice location address for Kathy Kellogg Bush is 5372 Fallowater Ln Ste C, Roanoke, VA and can be reached out via phone at 540-772-1974 and via fax at 540-283-0032.

Location: 5372 Fallowater Ln Ste C, Roanoke, VA, 24018-0950
person
Provider Profile Details
NPI Number
1285183665
Provider Name
Kathy Kellogg Bush
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
5372 Fallowater Ln Ste C, Roanoke, VA, 24018-0950
Phone Number
540-772-1974
Fax Number
540-283-0032
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5372 Fallowater Ln Ste C
City
State
Zip
24018-0950
Phone Number
540-772-1974
Fax Number
540-283-0032
person
Provider Business Mailing Address Details
Address
5372 Fallowater Ln Ste C
City
State
Zip
24018-0950
Phone Number
540-772-1974
Fax Number
540-283-0032
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0701006731 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701006731 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701006731 (Virginia)
Definition
Definition to come...
semi-verified symbol
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