Individual
TIFFANY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
356 CHARLOTTE RD, RUTHERFORDTON, NC 28139-2916
(828) 287-7945
(828) 287-7946
Mailing address
129 SUNNY ST, MARION, NC 28752-6411
(828) 803-2985
(828) 287-7946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22537
NC
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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