Individual provider · Type 1 NPI

Diane Marie Bush, CADC, LPCC, NCC

Mental Health Counselor · Louisville, KY

NPI number 1205425253 Active

Practice location

105 Daventry Ln Ste 200
Louisville, KY 40223-3874

Call (502) 510-3947 Map

Mailing address

5704 Fruitwood Dr
Louisville, KY 40272-5018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X164184 (KY)
Mental Health Counselor Primary 101YM0800X264319 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1205425253

Diane Marie Bush, CADC, LPCC, NCC's National Provider Identifier is 1205425253, issued on Jan 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Louisville, KY. The record was last updated on Mar 25, 2024.