person
Jacqueline Rusche, LPC
Mental Health Counselor in Middletown, Ohio
NPI 1902343122

Jacqueline Rusche is a Mental Health Counselor based in Middletown, OH and is specialized in Mental Health. Jacqueline Rusche practices in Middletown, OH and has the professional credentials of LPC. The NPI Number for Jacqueline Rusche is 1902343122 and holds a License No. C.1300743 (Ohio).

The current practice location address for Jacqueline Rusche is 4464 S Dixie Hwy, Middletown, OH and can be reached out via phone at 513-649-8008 and via fax at 513-649-8004.

Location: 4464 S Dixie Hwy, Middletown, OH, 45005-5464
person
Provider Profile Details
NPI Number
1902343122
Provider Name
Jacqueline Rusche
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4464 S Dixie Hwy, Middletown, OH, 45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H130910 01 OH MEDICARE GROUP PTAN
0074946 01 OH MEDICAID-ODMH
01-0693 01 OH CARF CERTIFICATION
0074861 01 OH MEDICAID-ODADAS
institution
Provider Business Practice Location Address Details
Address
4464 S Dixie Hwy
City
State
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider Business Mailing Address Details
Address
4464 S Dixie Hwy
City
State
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C.1300743 (Ohio)
Definition
Definition to come...
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