Individual
MS. DANIELLE N BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
225 S MERAMEC AVE, SAINT LOUIS, MO 63105-3669
(618) 334-7163
Mailing address
17 FOREST GATE DR, BELLEVILLE, IL 62220-2970
(618) 334-7163
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010005603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497213306
—
MO
Enumeration date
04/13/2007
Last updated
07/07/2023
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