Individual
ANNIKA MARIE BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
Mailing address
1436 W BELLE PLAINE AVE, GDN, CHICAGO, IL 60613-1952
(224) 636-2960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.020878
IL
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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