person
Amy Rutherford, MED,LPC
Professional Counselor in San Angelo, Texas
NPI 1538867122

Amy Rutherford is a Professional Counselor based in San Angelo, TX and is specialized in Professional. Amy Rutherford practices in San Angelo, TX and has the professional credentials of MED,LPC. The NPI Number for Amy Rutherford is 1538867122 and holds a License No. 84390 (Texas).

The current practice location address for Amy Rutherford is 3131 Executive Dr, San Angelo, TX and can be reached out via phone at 325-947-5021 and via fax at 325-267-2629.

Location: 3131 Executive Dr, San Angelo, TX, 76904-6801
person
Provider Profile Details
NPI Number
1538867122
Provider Name
Amy Rutherford
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
3131 Executive Dr, San Angelo, TX, 76904-6801
Phone Number
325-947-5021
Fax Number
325-267-2629
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84390 01 TX LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
3131 Executive Dr
City
State
Zip
76904-6801
Phone Number
325-947-5021
Fax Number
325-267-2629
person
Provider Business Mailing Address Details
Address
3131 Executive Dr
City
State
Zip
76904-6801
Phone Number
325-947-5021
Fax Number
325-267-2629
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
84390 (Texas)
Definition
Definition to come...
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