Individual
MS. JO-ANN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1977 J N PEASE PLACE, 201, CHARLOTTE, NC 28262
(980) 875-4849
Mailing address
1997 JN PEAXE PLACE, 201, CHARLOTTE, NC 28262
(980) 275-4849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008868
—
NC
Enumeration date
07/28/2015
Last updated
07/28/2015
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