# JACQUELINE BUSH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073012647
- **Gender:** F
- **Credential:** LMFT, BC-TMH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | 0717002128 | VA | — |
| 106H00000X | Marriage & Family Therapist | 206218 | TX | — |
| 106H00000X | Marriage & Family Therapist | 2118 | NC | Yes |
| 106H00000X | Marriage & Family Therapist | 7054 | SC | — |
| 106H00000X | Marriage & Family Therapist | LCM1108 | MD | — |
| 106H00000X | Marriage & Family Therapist | LMFT200001420 | DC | — |
| 106H00000X | Marriage & Family Therapist | MFT002250 | GA | — |
| 106H00000X | Marriage & Family Therapist | MFT1586 | LA | — |
| 106H00000X | Marriage & Family Therapist | TPMF251 | FL | — |

## Other

- **Enumeration date:** 02/08/2018
- **Last updated:** 03/04/2026
