Individual
MR. EDWARD ANDREW RUSNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LISAC
Contact information
Practice address
4735 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 256-8002
Mailing address
4735 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 256-8002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11829
AZ
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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