Individual
MANON BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2164 110TH ST, FORT ATKINSON, IA 52144-7423
(563) 379-1584
Mailing address
2164 110TH ST, FORT ATKINSON, IA 52144-7423
(563) 379-1584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122034
IA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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