person
Mr. Charles Daniel Bush JR., MFTINTERN
Mental Health Counselor in Carson, California
NPI 1952633661

Charles Daniel Bush JR. is a Mental Health Counselor based in Carson, CA and is specialized in Mental Health. Charles Daniel Bush JR. practices in Carson, CA and has the professional credentials of MFTINTERN. The NPI Number for Charles Daniel Bush JR. is 1952633661 and holds a License No. 70425 (California).

The current practice location address for Charles Daniel Bush JR. is 460 E Carson Plaza Dr, Carson, CA and can be reached out via phone at 310-523-9500 and via fax at 310-225-2725.

Location: 460 E Carson Plaza Dr, Carson, CA, 90746-3228
person
Provider Profile Details
NPI Number
1952633661
Provider Name
Charles Daniel Bush JR.
Credential
MFTINTERN
Provider Entity Type
Individual
Gender
Male
Address
460 E Carson Plaza Dr, Carson, CA, 90746-3228
Phone Number
310-523-9500
Fax Number
310-225-2725
Provider Enumeration Date
02/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
460 E Carson Plaza Dr
City
State
Zip
90746-3278
Phone Number
310-523-9500
Fax Number
310-225-2725
person
Provider Business Mailing Address Details
Address
460 E Carson Plaza Dr
City
State
Zip
90746-3278
Phone Number
310-523-9500
Fax Number
310-225-2725
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
70425 (California)
Definition
Definition to come...
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