Individual
MS. JENNIFER CHRISTINE BUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
777 NE 7TH ST STE 216, GRANTS PASS, OR 97526-1632
(541) 226-9088
Mailing address
777 NE 7TH ST STE 216, GRANTS PASS, OR 97526-1632
(541) 226-9088
(541) 291-9828
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMF 73415
CA
106H00000X
Marriage & Family Therapist
T1507
OR
106H00000X
Marriage & Family Therapist
Primary
T2014
OR
Other
Enumeration date
01/22/2013
Last updated
12/16/2021
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