Individual provider · Type 1 NPI
Kathleen Ann Bush, LCPC
Professional Counselor · Normal, IL
NPI number
1871731554
Active
Practice location
1100 Beech St., Bldg. 7
Normal, IL 61761
Fax (309) 454-9257
Mailing address
612 Oglesby Ave.
Normal, IL 61761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.005989 (IL) |
Professional Counselor: Definition to come...
4 other providers at this address
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- Gregory Jenkins, LCPCProfessional Counselor Normal, IL NPI 1033874037
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- Lauren EvelsizerProfessional Counselor Normal, IL NPI 1053740191
- Bruce Boeck, LCPCProfessional Counselor Normal, IL NPI 1063614600
- Mallory R. Hippler, COUNSELORProfessional Counselor Normal, IL NPI 1063765303
About NPI 1871731554
Kathleen Ann Bush, LCPC's National Provider Identifier is 1871731554, issued on Feb 3, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Normal, IL. The record was last updated on Feb 3, 2009.