Individual
MS. FREDDIE KAREN BUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/S
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3165
SC
Other
Enumeration date
08/06/2007
Last updated
09/03/2008
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