Individual
PETER BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 W OGLETHORPE HWY STE B, HINESVILLE, GA 31313-4415
(912) 910-2770
(844) 440-5653
Mailing address
604 W OGLETHORPE HWY STE B, HINESVILLE, GA 31313-4415
(912) 910-2770
(844) 440-5653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013302
GA
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
02/03/2026
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