Individual provider · Type 1 NPI

Jacqueline Bush, LMFT, BC-TMH

Marriage & Family Therapist · Charlotte, NC

NPI number 1073012647 Active

Practice location

227 W 4th St Ste 321
Charlotte, NC 28202-1545

Fax (704) 490-4274

Mailing address

PO Box 82406
Baton Rouge, LA 70884-2406

Other practice locations

  • 10202 Perkins Rowe Ste E160, Baton Rouge, LA 70810-2067 · (704) 879-1179

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X2118 (NC)
Marriage & Family Therapist 106H00000XMFT002250 (GA)
Marriage & Family Therapist 106H00000X0717002128 (VA)
Marriage & Family Therapist 106H00000XLCM1108 (MD)
Marriage & Family Therapist 106H00000XTPMF251 (FL)
Marriage & Family Therapist 106H00000XMFT1586 (LA)
Marriage & Family Therapist 106H00000XLMFT200001420 (DC)
Marriage & Family Therapist 106H00000X206218 (TX)
Marriage & Family Therapist 106H00000X7054 (SC)
Mental Health Counselor 101YM0800XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1073012647

Jacqueline Bush, LMFT, BC-TMH's National Provider Identifier is 1073012647, issued on Feb 8, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 4, 2026.