Individual provider · Type 1 NPI

Luke T. Bushman, MPS, LPCC, LADC

Mental Health Counselor · Minneapolis, MN

NPI number 1346716420 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304557 (MN)
Mental Health Counselor Primary 101YM0800X01955 (MN)

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About NPI 1346716420

Luke T. Bushman, MPS, LPCC, LADC's National Provider Identifier is 1346716420, issued on Oct 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 9, 2024.