Individual
MATTHEW RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 SECOND STREET, CORDOVA, AK 99574
(907) 424-3622
Mailing address
PO BOX 2204, CORDOVA, AK 99574-2204
(907) 424-3622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
113114
AK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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