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Individual

AUSTIN RAUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4040 E BROAD ST, WHITEHALL, OH 43213-1156
(614) 405-9500
Mailing address
4040 E BROAD ST, WHITEHALL, OH 43213-1156

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161104
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0129422
OH
Enumeration date
10/16/2017
Last updated
10/16/2017
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