THADDEAUS WAYNE BUSH

FRENCH CAMP, CA
NPI1316133705
Other NameTHADDAEUS WAYNE BUSH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: CA  B0411260821)
Enumeration Date2007-09-19
Last Update Date2017-10-23
Business Address
Mr. THADDEAUS WAYNE BUSH CATC
500 W. HOSPITAL RD. RECOVERY HOUSE
FRENCH CAMP, CA 95231
Phone number: 209-468-6857
Mailing Address
Mr. THADDEAUS WAYNE BUSH CATC
1212 N. CALIFORNIA ST. SAN JOAQUIN COUNTY BEHAVIORAL HEALTH
STOCKTON, CA 95202
Phone number: 209-468-6857
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