Individual
COURTNEY B BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 20TH ST S APT 609, ARLINGTON, VA 22202-3624
(801) 835-1349
Mailing address
220 20TH ST S APT 609, ARLINGTON, VA 22202-3624
(801) 835-1349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12388305-3501
UT
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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