Individual
DR. TRACY GINTER BUSHKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., LPC
Contact information
Practice address
3801 FAIRFAX DR STE 62, ARLINGTON, VA 22203-1762
(703) 243-3432
(703) 532-2787
Mailing address
3804 N TAZEWELL ST, ARLINGTON, VA 22207-4556
(703) 243-3432
(703) 532-2787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001581
VA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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