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
- City
- Ruidoso
- State
- New Mexico
- ZIP Code
- 88345-6713
- Phone
- (575) 630-0574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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