Individual
VANESSA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 S MADISON ST, LANCASTER, WI 53813-2186
(608) 723-4433
(608) 535-6862
Mailing address
702 S MADISON ST, LANCASTER, WI 53813-2186
(608) 723-4433
(608) 535-6862
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3692-57
WI
103TS0200X
School Psychologist
3001020326
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
07/11/2022
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