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Mr. Thaddeaus Wayne Bush SR., CATC
Counselor in French Camp, California
NPI 1316133705

Thaddeaus Wayne Bush SR. is a Counselor based in Stockton, CA. Thaddeaus Wayne Bush SR. practices in French Camp, CA and has the professional credentials of CATC. The NPI Number for Thaddeaus Wayne Bush SR. is 1316133705 and holds a License No. B0411260821 (California).

The current practice location address for Thaddeaus Wayne Bush SR. is 500 W. Hospital Rd., French Camp, CA and can be reached out via phone at 209-468-6857 and via fax at 209-468-6739.

Location: 500 W. Hospital Rd., French Camp, CA, 95202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316133705
Provider Name
Thaddeaus Wayne Bush SR.
Credential
CATC
Provider Entity Type
Individual
Gender
Male
Address
500 W. Hospital Rd., French Camp, CA, 95202
Phone Number
209-468-6857
Fax Number
209-468-6739
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 W. Hospital Rd.
City
French Camp
State
California
Zip
95231
Phone Number
209-468-6857
Fax Number
209-468-6739
person
Provider Business Mailing Address Details
Address
500 W. Hospital Rd.
City
French Camp
State
California
Zip
95231
Phone Number
209-468-6857
Fax Number
209-468-6739
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
B0411260821 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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