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NPI Code Detail

MEDICARE: RONNIE E BUSH LPC

MEDICARE:   RONNIE E BUSH  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4284CO
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1598860603
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONNIE E BUSH LPC
Provider Business Mailing Address
First Line : 2337 RAMSGATE TER
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3173
Country : US
Telephone Number : 719-532-0508
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-503-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/02/2025

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Directions to “ RONNIE E BUSH LPC” Practice Location

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