Individual provider · Type 1 NPI

Subrina Leontine Rush, LPC

Professional Counselor · Stone Mountain, GA

NPI number 1497952386 Active

Practice location

5300 Memorial Dr, 224F
Stone Mountain, GA 30083-3148

Mailing address

6326 Ellenwood Dr
Rex, GA 30273-5025

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004530 (GA)

Professional Counselor: Definition to come...

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About NPI 1497952386

Subrina Leontine Rush, LPC's National Provider Identifier is 1497952386, issued on Jul 2, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Nov 12, 2009.