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Nickole Bush
Mental Health Counselor in Villa Rica, Georgia
NPI 1366088379

Nickole Bush is a Mental Health Counselor based in Villa Rica, GA and is specialized in Mental Health. Nickole Bush practices in Villa Rica, GA. The NPI Number for Nickole Bush is 1366088379 and holds a License No. APC006745 (Georgia).

The current practice location address for Nickole Bush is 101 Quartz Dr Ste 103A, Villa Rica, GA and can be reached out via phone at 678-471-6925.

Location: 101 Quartz Dr Ste 103A, Villa Rica, GA, 30180-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366088379
Provider Name
Nickole Bush
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Quartz Dr Ste 103A, Villa Rica, GA, 30180-3201
Phone Number
678-471-6925
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Quartz Dr Ste 103A
City
Villa Rica
State
Georgia
Zip
30180-3201
Phone Number
678-471-6925
Fax Number
person
Provider Business Mailing Address Details
Address
101 Quartz Dr Ste 103A
City
Villa Rica
State
Georgia
Zip
30180-3201
Phone Number
678-471-6925
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
APC006745 (Georgia)
Definition
Definition to come...
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