| Doctor Name: | AMANDA GAYLE RUSHER |
| NPI Number: | 1356579809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 711 Barnes Ave La Junta, CO - 810502138 |
| Business Phone Number: | 7193845446 |
| Business Fax Number: | 7193845672 |
| Mailing Address: | 711 Barnes Ave, LA JUNTA |
| State: | CO |
| Postal Code: | 810502138 |
| Phone Number: | 7193845446 |
| Fax Number: | 7193845672 |
| NPI Enumeration Date: | 06/23/2009 |
| NPI Last Update Date: | 01/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |