Individual
STEPHANIE BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 350-4010
(360) 533-9825
Mailing address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 350-4010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60727175
WA
Other
Enumeration date
11/05/2018
Last updated
03/30/2023
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