Individual
LUISA JULIA VANDEN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
2607 N GRANDVIEW BLVD, WAUKESHA, WI 53188-1686
(262) 515-9079
Mailing address
9740 W COLD SPRING RD, GREENFIELD, WI 53228-2720
(262) 515-9079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6984-125
WI
Other
Enumeration date
07/25/2016
Last updated
06/27/2023
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