Individual
FELITA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
124 S MAIN ST STE 2G, JONESBORO, GA 30236-3502
(404) 618-2122
(678) 601-0654
Mailing address
124 S MAIN ST STE 2G, JONESBORO, GA 30236-3502
(470) 725-3008
(678) 601-0654
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009211
GA
Other
Enumeration date
10/25/2016
Last updated
11/06/2016
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