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1891533972
BERNADETTE JACKSON BUSH
SAN ANTONIO, TX
NPI
1891533972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 17026)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
BERNADETTE JACKSON BUSH LCDC
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207-3011
Phone number: 210-261-1300
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Mailing Address
BERNADETTE JACKSON BUSH LCDC
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1060
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