Individual
MS. LONIKA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5377
(770) 339-5076
Mailing address
2693 BOULDER POINTE WAY, ELLENWOOD, GA 30294-1290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC001930
GA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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