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NPI Code Detail

MEDICARE: CAROL RUSH

MEDICARE: CAROL RUSH
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 Counselor

General Provider Information

NPI Number : 1245762558
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL RUSH
Provider Business Mailing Address
First Line : PO BOX 6573
Second Line :
City : LAWRENCEVILLE
State : NJ
Zip : 08648-0573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 223 S MAIN ST
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2240
Country : US
Telephone Number : 609-844-0452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 06/06/2026

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Directions to “ CAROL RUSH ” Practice Location

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