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Samantha Bush
Peer Specialist in River Falls, Wisconsin
NPI 1851168389

Samantha Bush is a Peer Specialist based in River Falls, WI. Samantha Bush practices in River Falls, WI. The NPI Number for Samantha Bush is 1851168389 and holds a License No. (Wisconsin).

The current practice location address for Samantha Bush is 1450 S Wasson Ln Trlr 74, River Falls, WI and can be reached out via phone at 715-417-2720.

Location: 1450 S Wasson Ln Trlr 74, River Falls, WI, 54022-2736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851168389
Provider Name
Samantha Bush
Credential
Provider Entity Type
Individual
Gender
Female
Address
1450 S Wasson Ln Trlr 74, River Falls, WI, 54022-2736
Phone Number
715-417-2720
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1450 S Wasson Ln Trlr 74
City
River Falls
State
Wisconsin
Zip
54022-2736
Phone Number
715-417-2720
Fax Number
person
Provider Business Mailing Address Details
Address
1450 S Wasson Ln Trlr 74
City
River Falls
State
Wisconsin
Zip
54022-2736
Phone Number
715-417-2720
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Wisconsin)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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