Timothy Bush

NPI #1902289481 in Grayson, Kentucky

Provider Information

NPI Number: 1902289481
Entity Type: Individual
Name: Timothy Bush
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 2, 2015
Last Updated: Jul 2, 2015

Practice Location

Address: 840 INTERSTATE DR
City: Grayson
State: Kentucky
ZIP Code: 41143-1768
Phone: (606) 474-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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