Individual
RANDI NICOLE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 COLLEGE HEIGHTS BLVD, BOWLING GREEN, KY 42101-1000
(270) 745-4204
Mailing address
705 STATE ST # A04, BOWLING GREEN, KY 42101-2264
(502) 386-1283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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