Individual
ANDREW RYNE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
7625 N UNIVERSITY ST STE B1, PEORIA, IL 61614-8304
(309) 676-0538
Mailing address
508 NE 6TH ST, ATLANTA, IL 61723-8923
(731) 415-1430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
Primary
150129434
IL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
06/29/2026
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