Jessica Kushman

NPI #1194089631 in Ruidoso, New Mexico

Provider Information

NPI Number
1194089631
Entity Type
Individual
Name
Jessica Kushman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Jun 29, 2012
Last Updated
Jun 29, 2012

Practice Location

Address
206 PORR DR
ZIP Code
88345-6713
Phone
(575) 630-0574

Specialties & Taxonomy Codes

Specialty
Counselor

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