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NPI Code Detail

MEDICARE: MRS. LAUREN RUSHTON LPC INTERN

MEDICARE:  MRS. LAUREN  RUSHTON  LPC INTERN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor75559TX

General Provider Information

NPI Number : 1073067831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN RUSHTON LPC INTERN
Provider Business Mailing Address
First Line : 9772 WHITHORN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5025
Country : US
Telephone Number : 936-900-8566
Fax Number :
Provider Business Practice Location Address
First Line : 9772 WHITHORN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5025
Country : US
Telephone Number : 936-900-8566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2016
Last Update Date : 08/10/2016

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Directions to “ MRS. LAUREN RUSHTON LPC INTERN” Practice Location

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