Tammy J Bush, LCDC111

NPI #1861998445 in Pomeroy, Ohio

Provider Information

NPI Number: 1861998445
Entity Type: Individual
Name: Tammy J Bush, LCDC111
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCDC111
Enumeration Date: Apr 3, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 507 MULBERRY HEIGHTS RD
City: Pomeroy
State: Ohio
ZIP Code: 45769-9573
Phone: (740) 992-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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