Individual
DEBRA COFFEY-RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
956 E TABOR AVE, FAIRFIELD, CA 94533-4104
(707) 422-9345
(707) 422-2910
Mailing address
745 OHIO ST, APT 5, FAIRFIELD, CA 94533-6222
(707) 446-8344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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