Individual
JOHN WESLEY BUSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LCADC
Contact information
Practice address
4010 DUPONT CIR, LOUISVILLE, KY 40207-4812
(502) 825-1375
Mailing address
4010 DUPONT CIR, LOUISVILLE, KY 40207-4812
(502) 825-1375
(502) 305-7101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
275315
KY
101YM0800X
Mental Health Counselor
Primary
294396
KY
Other
Enumeration date
06/28/2022
Last updated
02/24/2025
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