Individual
LORI RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
205 MOHAWK RD, SMITHS GROVE, KY 42171
(270) 597-2713
(270) 597-9194
Mailing address
PO BOX 546, GLASGOW, KY 42142-0546
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
08/31/2006
Last updated
07/08/2007
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