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General NPI Number Information
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NPI Number | 1801929401
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Entity Type | Individual
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Provider Name | M. AVRIL BUSH M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12714 AVALON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90061-2730
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Country | US
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Telephone | 310-925-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 MAYFIELD AVE
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City | MONTROSE
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State | CA
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Zip | 91020-1414
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Country | US
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Telephone | 818-445-2502
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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