Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MAVIS A BUSH
ActiveMS. MAVIS A BUSH is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CANTON, New York. NPI 1043400658 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CANTON, NY
Registration Details
- NPI Number
- 1043400658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2007 (19.019481098012 yrs)
- Last Updated
- Jul 30, 2007
Practice Information
- Address
-
80 STATE HIGHWAY 310SUITE 1CANTON, NY, 136171493Browse NY providers · Browse ZIP 13617
- Phone
- 3153862189
- Fax
- 3153862435
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CANTON, NY
| Name | Credential | NPI |
|---|---|---|
| MR. RODERICK A WATERS | CASAC | 1326167735 |
| MR. MICHAEL W POLOWCHENA | CASAC | 1588783914 |
| MRS. JULIE MARIE ALLEN | — | 1538288915 |
| MS. MARCIA F BARNETT | — | 1558480921 |
| MS. JENNIFER M GOTHAM | — | 1174644223 |
| MR. WILLIAM PATRICK OMARA | — | 1346427895 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.