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Individual

BRANDI BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADCA1, APSS, CSA

Contact information

Practice address
400 RING RD STE 155, ELIZABETHTOWN, KY 42701-8790
(270) 319-9899
Mailing address
400 RING RD STE 155, ELIZABETHTOWN, KY 42701-8790
(844) 473-6378

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
295967
KY
175T00000X
Peer Specialist
1211852
KY

Other

Enumeration date
04/25/2024
Last updated
02/07/2025
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