# ALYSSA ANN BUSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396398905
- **Gender:** F
- **Credential:** CDCA.170942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.170942 | OH | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 05/02/2023