Individual
ALLYSON NICOLE BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4040 BARRANCA PKWY STE 260, IRVINE, CA 92604-4780
(925) 282-1778
(415) 296-5299
Mailing address
4040 BARRANCA PKWY STE 260, IRVINE, CA 92604-4780
(925) 282-1778
(415) 296-5299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
93119
CA
Other
Enumeration date
05/02/2023
Last updated
10/23/2024
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