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Individual

BRITTANEY BUSHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. L.C.P.C.

Contact information

Practice address
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2243
(773) 879-7529
Mailing address
3317 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2243
(773) 879-7529

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178011318
IL
101YP2500X
Professional Counselor
Primary
180.012023
IL

Other

Enumeration date
09/21/2015
Last updated
01/17/2019
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