Individual provider · Type 1 NPI

Beverly Ann Bush

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1174874887 Active

Practice location

3634 Elizabeth St
Riverside, CA 92506-2506

Call (951) 341-8930 Map

Fax (951) 341-8932

Mailing address

231 E Alessandro Blvd
Riverside, CA 92508-5084

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1174874887

Beverly Ann Bush's National Provider Identifier is 1174874887, issued on Sep 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Jul 17, 2014.