Individual
CANDACE L. RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 526-6168
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 526-6168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001315-LCDCII
OH
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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