Individual
JOCELYN RUSHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 RANDY RD, LOGANVILLE, GA 30052-9069
(404) 493-0258
Mailing address
270 RANDY RD, LOGANVILLE, GA 30052-9069
(404) 493-0258
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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