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1952633661
CHARLES DANIEL BUSH
CARSON, CA
NPI
1952633661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 70425)
Enumeration Date
2010-02-04
Last Update Date
2012-08-21
Business Address
Mr. CHARLES DANIEL BUSH MFT Intern
460 E CARSON PLAZA DR SUITE 122
CARSON, CA 90746-3278
Phone number: 310-523-9500
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Mailing Address
Mr. CHARLES DANIEL BUSH MFT Intern
460 E CARSON PLAZA DR SUITE 122
CARSON, CA 90746-3228
Phone number: 310-523-9500
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