KEVIN BUSHUR

EFFINGHAM, IL
NPI1003818048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IL  180005290)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
-- KEVIN BUSHUR MS/LCPC
1200 N 4TH ST
EFFINGHAM, IL 62401-3032
Phone number: 217-347-7179
Mailing Address
-- KEVIN BUSHUR MS/LCPC
17454 N 1400TH ST
EFFINGHAM, IL 62401-6707
Phone number:
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