Individual
MRS. CRYSTAL DENEE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS, LISW-CP
Contact information
Practice address
2933 S MIAMI BLVD STE 101, DURHAM, NC 27703-9041
(984) 292-4235
(888) 245-5107
Mailing address
2933 S MIAMI BLVD STE 101, DURHAM, NC 27703-9041
(984) 292-4235
(888) 245-5107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1615
NC
1041C0700X
Clinical Social Worker
Primary
C006358
NC
1041C0700X
Clinical Social Worker
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156NM
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
05
—
6007277
—
NC
01
—
SS#
TRICARE
NC
Enumeration date
09/25/2006
Last updated
08/08/2025
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