Individual
MR. HAROLD DAVID BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2622
(585) 922-2710
Mailing address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2622
(585) 922-2710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3339
NY
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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