Individual
MRS. CAMMY LYNN BUSHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CAADC, CCTP
Contact information
Practice address
3614 PINE OAK AVE SW APT 304, WYOMING, MI 49509-3900
(616) 493-2683
Mailing address
3614 PINE OAK AVE SW APT 304, WYOMING, MI 49509-3900
(616) 460-2164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6401014830
MI
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8970120
—
MI
Enumeration date
04/11/2019
Last updated
02/27/2026
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