Individual
AMY RUTH RAKUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ADTR, NCC
Contact information
Practice address
10 CROSS CREEK CT, PHOENIX, MD 21131-1000
(410) 472-3060
(410) 472-9958
Mailing address
10 CROSS CREEK CT, PHOENIX, MD 21131-1000
(410) 472-3060
(410) 472-9958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCO653
MD
Other
Enumeration date
06/30/2008
Last updated
09/11/2023
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