| NPI | 1114499902 |
|---|---|
| Other Name | NATE BUSH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-05-06 |