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Deanne Jean Bush I
Mental Health Counselor in Pontiac, Michigan
NPI 1649504416

Deanne Jean Bush I is a Mental Health Counselor based in Northville, MI and is specialized in Mental Health. Deanne Jean Bush I practices in Pontiac, MI. The NPI Number for Deanne Jean Bush I is 1649504416 and holds a License No. (Michigan).

The current practice location address for Deanne Jean Bush I is 54 Seneca St, Pontiac, MI and can be reached out via phone at 248-836-0196.

Location: 54 Seneca St, Pontiac, MI, 48168-2221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649504416
Provider Name
Deanne Jean Bush I
Credential
Provider Entity Type
Individual
Gender
Female
Address
54 Seneca St, Pontiac, MI, 48168-2221
Phone Number
248-836-0196
Fax Number
Provider Enumeration Date
09/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
54 Seneca St
City
Pontiac
State
Michigan
Zip
48342-2349
Phone Number
248-836-0196
Fax Number
person
Provider Business Mailing Address Details
Address
54 Seneca St
City
Pontiac
State
Michigan
Zip
48342-2349
Phone Number
248-836-0196
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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