Doctor Name: | JANICE E. RUSHING |
NPI Number: | 1033141833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BCSAC |
License Number: | BCSAC#857 |
Business Practice Address: | 23861 Robin Road Mandeville, LA - 70448 |
Business Phone Number: | 9856244100 |
Business Fax Number: | 9856244123 |
Mailing Address: | Po Box 37, MANDEVILLE |
State: | LA |
Postal Code: | 704700037 |
Phone Number: | 9856244100 |
Fax Number: | 9856244123 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | BCSAC#857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |