Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY RUTH RAKUSIN, LCPC, ADTR, NCC
Active Sole ProprietorProfessional Counselor · PHOENIX, MD
Registration Details
- NPI Number
- 1093977134
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2008 (17.837435900776 yrs)
- Last Updated
- Sep 11, 2023
- License
-
LCO653 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 CROSS CREEK CTPHOENIX, MD, 211311000Browse MD providers · Browse ZIP 21131
- Phone
- 4104723060
- Fax
- 4104729958
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in PHOENIX, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. CYNTHIA DEWATERS BALOG | LCPC LCADC | 1730271792 |
| CHRISTINE LANZI | LCPC | 1134602451 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.