Bush Clinical And Consultative Services Pllc

NPI 1093033268 - Counselor - 101YA0400X

NPI Details
NPI 1093033268
Enumeration Date 05/12/2010
Last Updated 02/15/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CRYSTAL DENEE CRYSTAL
Position OWNER
Phone (877) 258-4795
Fax (866) 583-9593
Practice Location
101 INDUSTRIAL DR
LOUISBURG NC, 27549-2307, US
Phone (877) 258-4795
Fax (866) 583-9593
Business Location
105 AMBERGATE DR
YOUNGSVILLE NC, 27596-7448, US
Phone (919) 539-8520
Fax (866) 583-9593
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Bush Clinical And Consultative Services Pllc NPI is 1093033268, taxonomy code is 101YA0400X Bush Clinical And Consultative Services Pllc physically located at 101 Industrial Dr, Louisburg NC, 27549-2307. NPI Number 1033115704 has the healthcare provider type.

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1093033268 NPI number is provided on an as is basis without warranty of any kind. 1093033268 is maintained by the National Plan & Provider Enumeration System. The contents of Bush Clinical And Consultative Services Pllc are for informational purposes only.