Individual
ALYSSA ANN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA.170942
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.170942
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378003
—
OH
01
—
170942
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
07/23/2019
Last updated
05/02/2023
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