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Organization
JENABETH RUSH MD, LPC LLC
Active
Organization
JENABETH RUSH MD, LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENABETH RUSH LPC (OWNER)
(860) 883-9512
Entity
Organization
Contact information
Practice address
1080 DAY HILL RD, WINDSOR, CT 06095-1781
(860) 883-9512
Mailing address
128 SILKEY RD, NORTH GRANBY, CT 06060-1418
(860) 883-9512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2509
CT
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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