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Individual

BARBARA RUSHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1016 S MADISON ST, DU QUOIN, IL 62832-2442
(618) 542-4357
(618) 542-3442
Mailing address
1016 S MADISON ST, DU QUOIN, IL 62832-2442
(618) 542-4357
(618) 542-3442

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
178008966
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178008966
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
N/A
Enumeration date
10/21/2020
Last updated
10/21/2020
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