Charla Ann Rush Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Portola, CA
- NPI
- 1437415718
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 274C (NV)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-04-11
- Last updated
- 2012-07-17
Practice location
545 W Sierra St
Portola, CA 96122-8615
(775) 848-8834