Individual
MRS. BRIDGET MARION BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
916 D ST, EUREKA, CA 95501-1713
(707) 476-8939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B0705250918
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/28/2007
Last updated
05/18/2011
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