Individual
LYNN A BUSHMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1126 S 70TH ST, SUITE S507, WEST ALLIS, WI 53214-3151
(414) 727-2789
Mailing address
W164 N8433 HIAWATHA AVE., MENOMONEE FALLS, WI 53051
(262) 227-7458
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3563-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40959800
—
WI
Enumeration date
10/25/2006
Last updated
07/09/2007
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