Individual
RANDY DERRELL RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1428 WEATHERLY RD SE STE 107, HUNTSVILLE, AL 35803-1181
(256) 288-3827
Mailing address
1428 WEATHERLY RD SE STE 107, HUNTSVILLE, AL 35803-1181
(256) 288-3827
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3030
AL
101YP2500X
Professional Counselor
Primary
3030
AL
Other
Enumeration date
05/17/2012
Last updated
03/02/2017
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