Individual
AVERY FONTAINE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4925 GREENVILLE AVE STE 680, DALLAS, TX 75206-4087
(214) 542-0129
Mailing address
4925 GREENVILLE AVE STE 680, DALLAS, TX 75206-4087
(214) 542-0129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85644
TX
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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