Individual
BETHANY RUSNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7821 N DALE MABRY HWY, TAMPA, FL 33614-3275
(813) 443-4827
Mailing address
2702 W BALLAST POINT BLVD, TAMPA, FL 33611-4002
(850) 814-8292
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3155
FL
Other
Enumeration date
10/18/2011
Last updated
07/28/2020
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