Charla Ann Rush

NPI #1437415718 in Portola, California

Provider Information

NPI Number: 1437415718
Entity Type: Individual
Name: Charla Ann Rush
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Apr 11, 2012
Last Updated: Jul 17, 2012

Practice Location

Address: 545 W SIERRA ST
City: Portola
State: California
ZIP Code: 96122-8615
Phone: (775) 848-8834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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