| Sue Marie Bushrow, LMFT | |
|
808 Mimosa Ave, Jasper, TN 37347-3007 | |
| (951) 249-3774 | |
| (423) 403-7875 |
| Full Name | Sue Marie Bushrow |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 14 Years |
| Location | 808 Mimosa Ave, Jasper, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841565108 | NPI | - | NPPES |
| 490 | Other | FL | LMFT TLHT |
| 1948 | Other | TN | TENNESSEE LMFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sud Specialty Group - Ca | 9537534177 | 519 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Marie Bushrow, LMFT 808 Mimosa Ave, Jasper, TN 37347-3007 Ph: (951) 249-3774 | Sue Marie Bushrow, LMFT 808 Mimosa Ave, Jasper, TN 37347-3007 Ph: (951) 249-3774 |
Ms. Frances Elizabeth Jones, LPC MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 28, Jasper, TN 37347 Phone: 423-337-3300 |
Shelia Beard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Hickman Road, Jasper, TN 37347 Phone: 423-942-3961 Fax: 423-942-6895 |
Emily Partin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Hickman Road, Jasper, TN 37347 Phone: 423-942-3961 Fax: 423-942-6895 |