Individual
MELANIE MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
571 SPENCER LN, SAN ANTONIO, TX 78201-2030
(210) 736-4405
(210) 736-4407
Mailing address
10312 FLATLAND TRL, CONVERSE, TX 78109-1665
(210) 724-8047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
55106
TX
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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