Individual
GAGE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACT
Contact information
Practice address
1428 SHORT TRACK RD, STURGIS, SD 57785-2977
(605) 347-2991
Mailing address
1428 SHORT TRACK RD, STURGIS, SD 57785-2977
(605) 347-2991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8577
SD
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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