Individual
KITRINA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 N LEWIS ST, LAGRANGE, GA 30240-2738
(706) 887-5787
(706) 780-5402
Mailing address
200 N LEWIS ST, LAGRANGE, GA 30240-2738
(706) 887-5787
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012741
GA
Other
Enumeration date
10/22/2018
Last updated
02/17/2022
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