MS. Crystal Lynn Bushong
MS. Crystal Lynn Bushong is a Mental Illness Community Based Residential Treatment Facility in Prescott, Arizona. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2105 Demerse AvePrescott, AZ 86301-1013
Phone: (928) 717-8834
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1508049230 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2007 |
| Last updated in NPPES | December 17, 2007 |
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