Individual
ANGELA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 W 111TH ST, CHICAGO, IL 60655-2715
(312) 469-0486
(773) 233-6111
Mailing address
3301 W 111TH ST, CHICAGO, IL 60655-2715
(312) 469-0486
(773) 233-6111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010320
IL
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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