Individual
MRS. JOSIE ELLEN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
107 S. STREETCAR WAY, LOST CREEK, WV 26385-0490
(304) 745-5065
(304) 745-5067
Mailing address
PO BOX 490, 107 S. STREETCAR WAY, LOST CREEK, WV 26385-0490
(304) 745-5065
(304) 745-5067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1729
WV
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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