Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BON J RUSH, LSAA
ActiveBON J RUSH, LSAA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MESCALERO, New Mexico. NPI 1104670694 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MESCALERO, NM
Registration Details
- NPI Number
- 1104670694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2024 (2.3161361617526 yrs)
- Last Updated
- Apr 12, 2024
- License
-
CTB-2023-0647 (NM)
Practice Information
- Address
-
107 SUNSET LOOPMESCALERO, NM, 88340Browse NM providers · Browse ZIP 88340
- Phone
- 5754642827
- Fax
- 5754644321
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MESCALERO, NM
| Name | Credential | NPI |
|---|---|---|
| JAMES PERALTO | MSW | 1215056098 |
| HOLLY K WILSON | — | 1245557958 |
| MR. JOSHUA RAYMOND GALLOUPE | LSAA | 1700167103 |
| WALTER SCOTT | LSAA | 1326589623 |
| CHRISTOPHER STUDDS | — | 1871310508 |
| JOHNNY OLIVAS | LSAA | 1598622433 |
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.