Individual provider · Type 1 NPI
Avery Fontaine Bush, LPC
Mental Health Counselor · Dallas, TX
NPI number
1881521029
Active
Practice location
4925 Greenville Ave Ste 680
Dallas, TX 75206-4087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 85644 (TX) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1881521029
Avery Fontaine Bush, LPC's National Provider Identifier is 1881521029, issued on May 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on May 4, 2026.