Individual
MR. ANTHONY ALLEN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-4432
Mailing address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-4432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60236082
WA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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