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Individual

JA'SHAREE TIARA BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW, BS, RBT

Contact information

Practice address
255 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7376
(678) 478-2937
Mailing address
255 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7376
(678) 478-2937

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW012161
GA
106S00000X
Behavior Technician
RBT-20-130074
GA

Other

Enumeration date
10/02/2020
Last updated
11/05/2024
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