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Katelyn Bush
Mental Health Counselor in Tishomingo, Oklahoma
NPI 1699438804

Katelyn Bush is a Mental Health Counselor based in Tishomingo, OK and is specialized in Mental Health. Katelyn Bush practices in Tishomingo, OK. The NPI Number for Katelyn Bush is 1699438804 and holds a License No. (Oklahoma).

The current practice location address for Katelyn Bush is 108 W Main St, Tishomingo, OK and can be reached out via phone at 580-371-3019.

Location: 108 W Main St, Tishomingo, OK, 73460-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699438804
Provider Name
Katelyn Bush
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Main St, Tishomingo, OK, 73460-1723
Phone Number
580-371-3019
Fax Number
Provider Enumeration Date
10/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 W Main St
City
Tishomingo
State
Oklahoma
Zip
73460-1723
Phone Number
580-371-3019
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Main St
City
Tishomingo
State
Oklahoma
Zip
73460-1723
Phone Number
580-371-3019
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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