Individual
GABRIEL NEAL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW
Contact information
Practice address
455 WASHINGTON ST STE 2, MONTPELIER, ID 83254-1600
(208) 847-4464
(208) 847-3093
Mailing address
455 WASHINGTON ST STE 2, MONTPELIER, ID 83254-1600
(208) 847-4464
(208) 847-3093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4371269
ID
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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