Bush, Vickie Lynn

Bush, Vickie Lynn is an individual health care provider with primary practice located at 1125 6Th Street Se Woodland Centers, Willmar MN 56201-4675. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bush, Vickie Lynn can be contacted via phone (320) 231-9148.

Contact Information

Primary practice address
1125 6Th Street Se Woodland Centers Willmar MN 56201-4675
Phone: (320) 231-9148
Fax: (320) 231-9140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300202 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8024 Minnesota

Profile Details

NPI number 1548393754
LBN Legal business name Bush, Vickie Lynn
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 16th, 2017 - about 7 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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