Individual
AMANDA ANN BUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC, MAC
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(720) 935-5101
Mailing address
PO BOX 1854, BOULDER, CO 80306-1854
(720) 935-5101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6951
CO
101YP2500X
Professional Counselor
Primary
5438
CO
Other
Enumeration date
10/30/2008
Last updated
05/21/2013
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