Individual
MRS. RENAE MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
13 CLYDE RD STE 103, SOMERSET, NJ 08873-5037
(848) 999-0123
Mailing address
21 TERRY AVE, SOUTH RIVER, NJ 08882-2531
(732) 735-1425
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00607000
NJ
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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