Individual
KIM M BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.C.
Contact information
Practice address
56 W TWIN OAKS TER, SOUTH BURLINGTON, VT 05403-7106
(802) 847-3333
(802) 847-1424
Mailing address
12 GRAVELLE RD, JERICHO, VT 05465-9630
(802) 899-4754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000033
VT
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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