Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH61018741 | WA |
N | 101YP2500X | Professional Counselor | C4234 | OR |
NPI | 1003183989 |
---|---|
Provider Name | Layla M. Bushee |
First Address | Olympia, WA 98501-1586 |
Second Address | Olympia, WA 98501-1586 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2011 |
Last Update Date | 30/11/2020 |