Individual provider · Type 1 NPI

Liisa Marie Bush, SAC-IT

Addiction (Substance Use Disorder) Counselor · Oshkosh, WI

NPI number 1295512002 Active

Practice location

505 S Washburn St
Oshkosh, WI 54904-7949

Mailing address

1416 W Weiland Ln
Appleton, WI 54914-5810

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20339-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295512002

Liisa Marie Bush, SAC-IT's National Provider Identifier is 1295512002, issued on Sep 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oshkosh, WI. The record was last updated on Sep 14, 2023.