| Doctor Name: | AMBER RUSH |
| NPI Number: | 1376734723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW, LCSW |
| License Number: | 2007019331 |
| Business Practice Address: | 1101 Jeff Cir Paola, KS - 660719156 |
| Business Phone Number: | 9139637692 |
| Business Fax Number: | |
| Mailing Address: | 1101 Jeff Cir, PAOLA |
| State: | KS |
| Postal Code: | 660719156 |
| Phone Number: | 9139637692 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 08/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2007019331 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |