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Individual

RANDY PAUL RUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
200 E FRAZIER AVE, COLUMBIA, KY 42728-1915
(270) 384-3898
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105601
KY

Other

Enumeration date
12/03/2011
Last updated
05/22/2019
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