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Individual

ROD EUGENE RUSHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC II

Contact information

Practice address
1102 S 21ST ST, COLORADO SPRINGS, CO 80904-3708
(303) 436-4727
(303) 436-4779
Mailing address
1102 S 21ST ST LOWR LEVEL, COLORADO SPRINGS, CO 80904-3708
(800) 604-8978

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0006985
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417288804
CO
Enumeration date
01/25/2010
Last updated
08/10/2020
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