Individual provider · Type 1 NPI

Michelle Bush, LAC

Addiction (Substance Use Disorder) Counselor · Shawnee, KS

NPI number 1336545003 Active

Practice location

6221 Richards Dr
Shawnee, KS 66216-1724

Fax (913) 248-1994

Mailing address

PO Box 711
Newton, KS 67114-0711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X267 (KS)

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

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About NPI 1336545003

Michelle Bush, LAC's National Provider Identifier is 1336545003, issued on Nov 7, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shawnee, KS. The record was last updated on Nov 7, 2014.