Individual
MRS. MARY B BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841-3105
(916) 879-3920
(916) 609-5160
Mailing address
5445 LAUREL HILLS DR, SACRAMENTO, CA 95841-3105
(916) 879-3920
(916) 609-5160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/14/2023
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