Individual
RUSTI JO TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LASUDC
Contact information
Practice address
5170 S HIGHLAND DR, HOLLADAY, UT 84117-7048
(385) 271-8567
Mailing address
5170 S HIGHLAND DR, HOLLADAY, UT 84117-7048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/07/2024
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