Individual
MS. NANCY ANN RUSH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LCSW,LPC,ALPS
Contact information
Practice address
243 W MAIN ST, PROGRESSIVE PREVENTIVE HEALTH CARE, BRIDGEPORT, WV 26330-1748
(304) 842-8852
(304) 842-8853
Mailing address
243 W MAIN ST, BRIDGEPORT, WV 26330-1748
(304) 842-8852
(304) 842-8853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP00453683/513
WV
Other
Enumeration date
10/30/2006
Last updated
07/09/2007
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