Individual
MS. JANICE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
909 W OLIVE ST, BLOOMINGTON, IL 61701-4962
(309) 310-2856
Mailing address
909 W OLIVE ST, BLOOMINGTON, IL 61701-4962
(309) 310-2856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.011545
IL
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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