Doctor Name: | CHRISTINE RUSHFORD |
NPI Number: | 1083004410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LMHC |
License Number: | MH13003 |
Business Practice Address: | 3997 Commons Dr W Suite C Destin, FL - 325418443 |
Business Phone Number: | 8504202640 |
Business Fax Number: | |
Mailing Address: | 3997 Commons Dr W, Suite C DESTIN |
State: | FL |
Postal Code: | 325418443 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/22/2015 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH13003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |