Individual
BRENNA R RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1715 W MOUNTAIN AVE, FORT COLLINS, CO 80521-2359
(970) 416-2910
Mailing address
1715 W MOUNTAIN AVE, FORT COLLINS, CO 80521-2359
(970) 416-2910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001152
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926779
CO
Other
Enumeration date
05/18/2016
Last updated
08/31/2021
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