Individual
JILLIAN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
18 N FORGE ST, AKRON, OH 44304-1317
(330) 762-0591
Mailing address
18 N FORGE ST, AKRON, OH 44304-1317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2106442
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093
—
OH
Enumeration date
07/11/2019
Last updated
06/27/2023
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