Individual
JEFFREY JOSEPH RUSTIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
103 STRAUSS DR, PARK HILLS, MO 63601-2400
(573) 327-9841
(573) 327-9843
Mailing address
10564 THOMAS CHAPEL RD, CALEDONIA, MO 63631-9438
(573) 315-6636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024012651
MO
Other
Enumeration date
11/13/2021
Last updated
05/12/2024
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