Individual
LOUISE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
811 CHICAGO AVENUE, APT 708, EVANSTON, IL 60202-2398
(314) 229-2728
Mailing address
811 CHICAGO AVENUE, APT 708, EVANSTON, IL 60202-2398
(314) 229-2728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180012205
IL
101YP2500X
Professional Counselor
178010615
IL
101YP2500X
Professional Counselor
180012205
IL
102L00000X
Psychoanalyst
Primary
180012205
IL
Other
Enumeration date
10/31/2018
Last updated
09/20/2022
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