Individual
HAZEL RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 SUNRISE AVE, STE 111, LAS VEGAS, NV 89101-4864
(702) 445-6594
Mailing address
3320 SUNRISE AVE, STE 111, LAS VEGAS, NV 89101-4864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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