Kellogg Bush, Kathy

Kellogg Bush, Kathy is an individual health care provider with primary practice located at 5372 Fallowater Ln Ste C , Roanoke VA 24018-0950. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kellogg Bush, Kathy can be contacted via phone (540) 772-1974.

Contact Information

Primary practice address
5372 Fallowater Ln Ste C Roanoke VA 24018-0950
Phone: (540) 772-1974
Fax: (540) 283-0032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0701006731 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701006731 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006731 Virginia

Profile Details

NPI number 1285183665
LBN Legal business name Kellogg Bush, Kathy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Sep 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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