Individual
KATELYN MARIE RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LCAS-A
Contact information
Practice address
929 15TH ST NE STE 100, HICKORY, NC 28601-4162
(828) 327-6026
(828) 327-8796
Mailing address
4330 VIOLA SIPE DR, CONOVER, NC 28613-8839
(828) 256-3436
(828) 256-3623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25885
NC
Other
Enumeration date
11/13/2019
Last updated
01/06/2020
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