SUE MARIE BUSHROW NPI 1841565108

NPI Information

NPI: 1841565108
Provider Name: SUE MARIE BUSHROW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2220 GIRARD ST
SAN JACINTO, CA
ZIP 92583
Phone: (951) 925-8450
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Sue Marie Bushrow is a mental health counselor in San Jacinto, CA. Sue Marie Bushrow NPI is 1841565108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2220 GIRARD ST
SAN JACINTO, CA
ZIP 92583-301
Phone: (951) 925-8450
Fax: (951) 925-0533

The enumeration date for this NPI number is 3/19/2012 and was last updated on 3/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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