MEDICARE: VIRGINIA RUSCHHAUPT LPC

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
1	101YP2500X	Professional Counselor	10997	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568562270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA RUSCHHAUPT LPC

Provider Business Mailing Address
First Line	:	PO BOX 718
Second Line	:
City	:	CUERO
State	:	TX
Zip	:	77954-0718
Country	:	US
Telephone Number	:	361-578-7441
Fax Number	:

Provider Business Practice Location Address
First Line	:	2006 N NAVARRO ST STE C
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-4823
Country	:	US
Telephone Number	:	361-578-7441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2006
Last Update Date	:	11/20/2008

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Directions to “ VIRGINIA RUSCHHAUPT LPC” Practice Location

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