Individual
MRS. CHANTA S RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 E CARSON PLAZA DR, SUITE 106, CARSON, CA 90746-3228
(310) 532-6030
Mailing address
8930 PAINTER AVE, APT 129, WHITTIER, CA 90602-3568
(562) 513-8906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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