Individual provider · Type 1 NPI
Cory Bushman, CMHC
Mental Health Counselor · Provo, UT
NPI number
1861980385
Active
Practice location
455 N University Ave Ste 210
Provo, UT 84601-2868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 9083769-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1861980385
Cory Bushman, CMHC's National Provider Identifier is 1861980385, issued on Apr 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Sep 25, 2019.