Individual
LUKE T BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPS, LPCC, LADC
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304557
MN
101YM0800X
Mental Health Counselor
Primary
01955
MN
Other
Enumeration date
10/16/2018
Last updated
01/09/2024
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