Individual
JENNIFER RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, LMFT-SC, NCC
Contact information
Practice address
106 PARK PL STE 204I, COVINGTON, LA 70433-6100
(225) 954-0277
Mailing address
106 PARK PL STE 204I, COVINGTON, LA 70433-6100
(225) 954-0277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5534
LA
106H00000X
Marriage & Family Therapist
Primary
1213
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1213
LICENSED MARRIAGE AND FAMILY THERAPIST
LA
05
—
3892596
—
LA
05
—
3892600
—
LA
01
—
5534
STATE - LICENSED PROFESSIONAL COUNSELOR
LA
Enumeration date
06/06/2019
Last updated
04/11/2024
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