Individual provider · Type 1 NPI

Katelyn Bush

Mental Health Counselor · Tishomingo, OK

NPI number 1699438804 Active

Practice location

108 W Main St
Tishomingo, OK 73460-1723

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699438804

Katelyn Bush's National Provider Identifier is 1699438804, issued on Oct 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Oct 15, 2021.