Individual
CHRISTINE J BUSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 4TH ST NW STE 5, DEVILS LAKE, ND 58301-2960
(701) 662-6776
(701) 662-6889
Mailing address
1201 25TH ST S, PO BOX 9859, FARGO, ND 58103-2311
(701) 451-4900
(701) 451-4893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
630-3-15-09A
ND
101YP2500X
Professional Counselor
Primary
630-3-15-09-316
ND
Other
Enumeration date
01/27/2010
Last updated
02/14/2020
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