Individual
JENNIFER BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9790 ROLLING G RD, FOUNTAIN, CO 80817-3396
(719) 588-9174
Mailing address
PO BOX 116, FOUNTAIN, CO 80817-0116
(719) 588-9174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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