Individual
MELINDA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS CADC
Contact information
Practice address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741
(269) 684-3671
Mailing address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741
(269) 684-3671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01222
MI
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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