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Individual
MRS. RONIKAYE RUSAK
Active
Individual
MRS. RONIKAYE RUSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141895601
—
TX
01
—
7164LC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/08/2005
Last updated
03/20/2019
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