Bush Counseling Service Lcsw Pllc
NPI #1467093054 in Gouverneur, New York
Provider Information
- NPI Number
- 1467093054
- Entity Type
- Organization
- Organization Name
- Bush Counseling Service Lcsw Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 4, 2019
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 4673 STATE HIGHWAY 58
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-3202
- Phone
- (386) 888-6464
Authorized Official
- Name
- SELENA BUSH, LCSW
- Title
- OWNER
- Phone
- (386) 888-6464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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