Provider Demographics
NPI:1003183989
Name:BUSHEE, LAYLA M (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:LAYLA
Middle Name:M
Last Name:BUSHEE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 LEGION WAY SE STE 3A
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1586
Mailing Address - Country:US
Mailing Address - Phone:206-636-1246
Mailing Address - Fax:
Practice Address - Street 1:825 LEGION WAY SE STE 3A
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1586
Practice Address - Country:US
Practice Address - Phone:206-636-1246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4234101YP2500X
WALH61018741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional