ANTHONY ALLEN BUSH

PORT ANGELES, WA
NPI1821435918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP 60236082)
Enumeration Date2013-05-29
Last Update Date2013-05-29
Business Address
Mr. ANTHONY ALLEN BUSH CDP
933 E 1ST ST
PORT ANGELES, WA 98362-4012
Phone number: 360-452-4432
Mailing Address
Mr. ANTHONY ALLEN BUSH CDP
933 E 1ST ST
PORT ANGELES, WA 98362-4012
Phone number: 360-452-4432