MS. Crystal Lynn Bushong

NPI #1508049230 in Prescott, Arizona

Provider Information

NPI Number
1508049230
Entity Type
Individual
Name
MS. Crystal Lynn Bushong
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Dec 17, 2007
Last Updated
Dec 17, 2007

Practice Location

Address
2105 DEMERSE AVE
State
Arizona
ZIP Code
86301-1013
Phone
(928) 717-8834

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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