Individual
ALLYSON NORWOOD BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
723 5TH AVE E # 10C, KALISPELL, MT 59901-5321
(406) 212-7576
Mailing address
306 5TH AVE E, KALISPELL, MT 59901-4925
(406) 212-7576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1482
MT
101YP2500X
Professional Counselor
Primary
1482
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477745370
—
MT
05
—
1861714537
—
MT
Enumeration date
02/23/2010
Last updated
10/25/2011
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