Individual
MARK ALAN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C0005242
OH
101YP2500X
Professional Counselor
Primary
C.0005242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125439
ANTHEM PIN #
OH
01
—
733387000
MAGELLAN PIN#
OH
Enumeration date
01/16/2007
Last updated
12/13/2024
Update your record
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