Individual
MS. BEVERLY ANN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3634 ELIZABETH ST, RIVERSIDE, CA 92506-2506
(951) 341-8930
(951) 341-8932
Mailing address
231 E ALESSANDRO BLVD, RIVERSIDE, CA 92508-5084
(951) 341-8930
(951) 341-8932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/21/2012
Last updated
07/17/2014
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