Individual
MRS. MELISSA MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(765) 482-7421
(765) 482-7462
Mailing address
940 LASLEY DR, LEBANON, IN 46052-1480
(765) 482-7421
(765) 482-7462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001730A
IN
101YM0800X
Mental Health Counselor
E.0004269
OH
Other
Enumeration date
12/02/2012
Last updated
12/02/2012
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