person
Mr. Mark Richard Bush, LPC
Mental Health Counselor in El Paso, Texas
NPI 1891988028

Mark Richard Bush is a Mental Health Counselor based in El Paso, TX and is specialized in Mental Health. Mark Richard Bush practices in El Paso, TX and has the professional credentials of LPC. The NPI Number for Mark Richard Bush is 1891988028 and holds a License No. 18012 (Texas).

The current practice location address for Mark Richard Bush is 401 Wallenberg Dr, El Paso, TX and can be reached out via phone at 915-581-3256 and via fax at 915-833-5743. You can also correspond with Mark Richard Bush through the mailing address at 401 WALLENBERG DR, EL PASO, TX - 79912-5605 (mailing address contact number: 915-581-3256).

Location: 401 Wallenberg Dr, El Paso, TX, 79912-5605
person
Provider Profile Details
NPI Number
1891988028
Provider Name
Mark Richard Bush
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
401 Wallenberg Dr, El Paso, TX, 79912-5605
Phone Number
915-581-3256
Fax Number
915-833-5743
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1815755 05 TX
institution
Provider Business Practice Location Address Details
Address
401 Wallenberg Dr
City
State
Zip
79912-5605
Phone Number
915-581-3256
Fax Number
915-833-5743
person
Provider Business Mailing Address Details
Address
401 Wallenberg Dr
City
State
Zip
79912-5605
Phone Number
915-581-3256
Fax Number
915-833-5743
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
18012 (Texas)
Definition
Definition to come...
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