Individual
RONALD DEAN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPE
Contact information
Practice address
522 MILL RD, CLARKSVILLE, AR 72830-8511
(479) 705-1301
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85-13E
AR
Other
Enumeration date
02/27/2007
Last updated
02/05/2009
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