Organization
KAITLIN BUSHINSKI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN BUSHINSKI (OWNER)
(570) 604-1622
Entity
Organization
Contact information
Practice address
97 WEAVER ST, PHILADELPHIA, PA 19119-2713
(570) 604-1622
Mailing address
97 WEAVER ST, PHILADELPHIA, PA 19119-2713
(570) 604-1622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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