Individual
LOIS J BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
931 E 86TH ST, SUITE 101, INDIANAPOLIS, IN 46240-1860
(317) 523-5517
Mailing address
5112 ASPEN TALON CT, INDIANAPOLIS, IN 46254-9510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001362A
IN
Other
Enumeration date
12/11/2006
Last updated
08/20/2007
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