Individual
JENNIFER ANN RUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPE-I
Contact information
Practice address
2516 LEXINGTON PL, JONESBORO, AR 72404
(870) 219-1512
Mailing address
2516 LEXINGTON PL, JONESBORO, AR 72404
(870) 219-1512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
07-04EI
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172529795
—
AR
05
—
227630719
—
AR
Enumeration date
12/18/2006
Last updated
10/22/2018
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