# MRS. THERESA LYNN RUST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093197089
- **Gender:** F
- **Credential:** PCC-S, LSW, LICDC-CS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 981323 | OH | — |
| 101YM0800X | Mental Health Counselor | 240672 | KY | Yes |
| 101YM0800X | Mental Health Counselor | E 0004070 SUPV | OH | — |
| 101YP2500X | Professional Counselor | 240672 | KY | — |
| 104100000X | Social Worker | S 0019424 | OH | — |

## Other

- **Enumeration date:** 06/25/2015
- **Last updated:** 11/21/2024