MR. NATHANIEL BUSH JR.
Rehabilitation Practitioner
Active
Individual
NPI: 1114499902
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | - |
| Rehabilitation Practitioner | 225400000X | Yes | - |
Frequently Asked Questions
NPI 1114499902 is the National Provider Identifier for MR. NATHANIEL BUSH JR., a Rehabilitation Practitioner provider located in Lake View Terrace, CA. This NPI was enumerated on December 18, 2018.
MR. NATHANIEL BUSH JR. practices at 11600 ELDRIDGE AVE, Lake View Terrace, CA 91342.
Quick Facts
- NPI
- 1114499902
- Type
- Individual
- Enumerated
- Dec 18, 2018
- Last Updated
- May 6, 2020
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