Individual
DR. JOHN C BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGY
Contact information
Practice address
1819 CENTRAL AVE SO, SOUTH CENTRAL BLDG A STE 111, KENT, WA 98032
(253) 852-5503
(253) 852-3612
Mailing address
1819 CENTRAL AVE SO, SOUTH CENTRAL BLDG A STE 111, KENT, WA 98032
(253) 852-5503
(253) 852-3612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000527
WA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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