MS. Mavis A Bush
MS. Mavis A Bush is an Addiction (Substance Use Disorder) Counselor in Canton, New York. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
80 State Highway 310 Ste 1Canton, NY 13617-1493
Phone: (315) 386-2189
Fax: (315) 386-2435
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1043400658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 30, 2007 |
| Last updated in NPPES | July 30, 2007 |
| Mailing address | 80 State Highway 310, Suite 1, Canton, NY 13617-1493 |
Other providers in Canton
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Mrs. Julie Marie Allen
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Mr. Ronald J. Brown, MED, CASAC
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MS. Kursten Cooke
80 St Hwy 310 Ste 1, Canton, NY 13617-1493 · (315) 386-2189
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80 State Highway 310 Ste 1, Canton, NY 13617-1436 · (315) 386-2188