BRYAN EMERSON BUSH

SANTA ROSA, CA
NPI1801584636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-04-28
Last Update Date2023-04-28
Business Address
BRYAN EMERSON BUSH
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Mailing Address
BRYAN EMERSON BUSH
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295