Individual
RENATA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24901 NORTHWESTERN HWY STE 314E, SOUTHFIELD, MI 48075-2207
(313) 401-0990
(248) 327-3565
Mailing address
PO BOX 40401, REDFORD, MI 48240-0401
(313) 401-0990
(248) 327-3565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401012944
MI
101YP2500X
Professional Counselor
Primary
6401018001
MI
Other
Enumeration date
06/25/2015
Last updated
09/12/2023
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