Melinda Bush, BS CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Niles, MI
NPI 1356779243 · NPPES record last updated Oct 31, 2013
Key facts
- NPI
- 1356779243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 2-01222 (MI)
- Practice address
- 1225 S 11TH St
Niles, MI 49120-3408 - Phone
- (269) 684-7741
- Fax
- (269) 684-3671
- NPI assigned
- Oct 31, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-01222 | MI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2-01222 | MI | Yes |
Addresses
Primary practice location
1225 S 11TH St
Niles, MI 49120-3408
Mailing address
1225 S 11TH St
Niles, MI 49120-3408
Phone (269) 684-7741
Other providers in Niles, MI
- Natalie Nicole Brown
- Seth Buchanan
- Darci Bullock
- John S Burgess
- Melissa Burpee
- Calm Lake Counseling, PLLC
- Joseph Houston Capps
- Cardiology Southwest, P.C.
- Cardiovascular Diseases of Niles, P.C.
- Amber Carlock
All providers in Niles, MI · Addiction (Substance Use Disorder) Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.