Individual provider · Type 1 NPI

Jessica Kushman

Counselor · Ruidoso, NM

NPI number 1194089631 Active

Practice location

206 Porr Dr
Ruidoso, NM 88345-6713

Call (575) 630-0574 Map

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194089631

Jessica Kushman's National Provider Identifier is 1194089631, issued on Jun 29, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ruidoso, NM. The record was last updated on Jun 29, 2012.