Active NPIIndividual provider

Mrs. Renae M Bush, LAC

Counselor, Professional in Somerset, New Jersey

NPI Number1912777376
Practice location
13 Clyde RD Ste 103, Somerset, NJ 08873-5037
Fax
—
Last updated
January 8, 2024

Renae Marie Bush is a Counselor, Professional based in Somerset, NJ. Renae Marie Bush practices in Somerset, NJ and has the professional credentials of LAC. The NPI Number for Renae Marie Bush is 1912777376 and holds a License No. 37AC00607000 (NJ). The current practice location address for Renae Marie Bush is 13 Clyde RD Ste 103, Somerset, NJ 08873-5037 and can be reached out via phone at 848-999-0123.

Provider Profile Details

NPI Number
1912777376
Provider Name
Renae Marie Bush
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
13 Clyde RD Ste 103, Somerset, NJ 08873-5037
Phone Number
848-999-0123
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2024
Last Update Date
January 8, 2024
Certification Date
January 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Clyde RD Ste 103
Somerset, NJ 08873-5037
Zip
08873-5037
Phone Number
848-999-0123
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
21 Terry Ave
South River, NJ 08882-2531
City
South River
State
NJ
Zip
08882-2531
Phone Number
732-735-1425

License Information

License Number
37AC00607000
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Renae M Bush, LAC?

The NPI number of Mrs. Renae M Bush, LAC is 1912777376. It was assigned on January 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Renae M Bush, LAC?

Mrs. Renae M Bush, LAC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00607000.

Where does Mrs. Renae M Bush, LAC practice?

The practice location is 13 Clyde RD Ste 103, Somerset, NJ 08873-5037. The office can be reached at 848-999-0123 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912777376 directly on the NPPES registry website.

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