MICHELLE BUSH

SHAWNEE, KS
NPI1336545003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  267)
Enumeration Date2014-11-07
Last Update Date2014-11-07
Business Address
-- MICHELLE BUSH LAC
6221 RICHARDS DR
SHAWNEE, KS 66216-1724
Phone number: 913-248-1943
Mailing Address
-- MICHELLE BUSH LAC
PO BOX 711
NEWTON, KS 67114-0711
Phone number: 316-283-6743