Individual
JANUARY RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
531 BROAD ST STE B, AUGUSTA, GA 30901-1496
(706) 951-3642
Mailing address
122 PINECREST DR, NORTH AUGUSTA, SC 29841-2353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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