Individual
DEANNE JEAN BUSH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 836-0196
Mailing address
18777 INNSBROOK DR, APT 402, NORTHVILLE, MI 48168-2221
(313) 461-9510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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