Individual
LATISA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44443 10TH ST W, LANCASTER, CA 93534-3346
(323) 888-9191
Mailing address
44443 10TH ST W, LANCASTER, CA 93534-3346
(323) 888-9191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
7581
CA
Other
Enumeration date
03/09/2012
Last updated
04/13/2020
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