Individual
MRS. MARNIE MARIE BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 W 700 N, BRIGHAM CITY, UT 84302
(435) 730-3669
Mailing address
219 W 700 N, BRIGHAM CITY, UT 84302-1441
(435) 730-3669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2712788-6004
UT
Other
Enumeration date
03/13/2013
Last updated
05/23/2018
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