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General NPI Number Information
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NPI Number | 1134730294
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Entity Type | Individual
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Provider Name | LEANNE RUSIN LCAC, LMHCA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 8401 HARCOURT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2036
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Country | US
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Telephone | 317-338-4850
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Fax | 317-338-4890
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Provider Business Mailing Address
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Address Line | 4194 KATTMAN CT
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City | CARMEL
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State | IN
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Zip | 46074-1107
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Country | US
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Telephone | 317-371-8096
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 87001463A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88001567A
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License Number State | IN
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