| Christine J Bushy, | |
|
224 4th St Nw Ste 5, Devils Lake, ND 58301-2960 | |
| (701) 662-6776 | |
| (701) 662-6889 |
| Full Name | Christine J Bushy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 224 4th St Nw Ste 5, Devils Lake, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811228075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 630-3-15-09A (North Dakota) | Secondary |
| 101YP2500X | Counselor - Professional | 630-3-15-09-316 (North Dakota) | Primary |
| Entity Name | Village Family Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine J Bushy, 1201 25th St S, Po Box 9859, Fargo, ND 58103-2311 Ph: (701) 451-4900 | Christine J Bushy, 224 4th St Nw Ste 5, Devils Lake, ND 58301-2960 Ph: (701) 662-6776 |
Emily E Larsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Mrs. Adalia M Mccrea, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Co Lake Region Human Service Center, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Chelsey Simonsen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Cindy Kilmer, BMOD, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Phillip Delaney, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Kerste Decoteau, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 | |
Eric Woodard, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Highway 2 W, Devils Lake, ND 58301 Phone: 701-665-2200 Fax: 701-665-2300 |