Individual provider · Type 1 NPI
Kathy Kellogg Bush, LPC
Professional Counselor · Roanoke, VA
NPI number
1285183665
Active
Practice location
5372 Fallowater Ln Ste C
Roanoke, VA 24018-0950
Fax (540) 283-0032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0701006731 (VA) |
| Mental Health Counselor | 101YM0800X | 0701006731 (VA) |
| Professional Counselor Primary | 101YP2500X | 0701006731 (VA) |
Professional Counselor: Definition to come...
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About NPI 1285183665
Kathy Kellogg Bush, LPC's National Provider Identifier is 1285183665, issued on Sep 27, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roanoke, VA. The record was last updated on Sep 27, 2016.