Individual
DOMINIQUE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5900 BALCONES DR STE 25157, AUSTIN, TX 78731-4257
(254) 467-1267
(866) 258-5843
Mailing address
5900 BALCONES DR STE 25157, AUSTIN, TX 78731-4257
(254) 467-1267
(866) 258-5843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113775
TX
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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