MR. EDWARD ANDREW RUSNAK


Address: 4735 N 1st Ave, Tucson, AZ 85718-5610
Phone: 5202568002

MR. EDWARD ANDREW RUSNAK (NPI# 1821349242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821349242
Entity Type Individual
Full Name MR. EDWARD ANDREW RUSNAK
Credential MS, NCC, LISAC
Practice Address 4735 N 1st Ave
Tucson
AZ 85718-5610
Practice Telephone 5202568002
Mailing Telephone 5202568002
Enumeration Date 2012-09-25
Last Update Date 2012-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
11829 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 4735 N 1ST AVE
City TUCSON
State AZ
Zip Code 85718-5610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851533640 Russ Warner Counselor 4735 N 1st Ave, Tucson, AZ 85718-5610 2009-03-25
1467082404 Willard Lynch Pmhnp-bc, Pllc Psychiatry & Neurology 4735 N 1st Ave, Tucson, AZ 85718-5610 2020-01-17
1326597048 James Richard Naughton Counselor 4735 N 1st Ave, Tucson, AZ 85718-5610 2016-09-22
1821388240 Thomas Mathias Schaefer Counselor 4735 N 1st Ave, Tucson, AZ 85718 2011-04-19

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1497366314 Cachora Standifer Counselor 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 2020-08-13
1508490673 Terrence Hickey Counselor 11235 E Sundance Dr, Tucson, AZ 85749-8280 2020-02-27
1568092815 Travis Anderson Counselor 2002 W Anklam Rd, Tucson, AZ 85745-2148 2020-01-24
1740830447 Let All Thrive, LLC Counselor 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 2019-09-13
1316424526 Wendy Sizer LLC Counselor 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 2018-07-20
1841705043 Cynthia Miller Potter Counselor 4144 E Broadway Blvd, Tucson, AZ 85711-3455 2017-12-10
1447791165 Juan M. Salgado Counselor 7490 S. Camino De Oeste, Tucson, AZ 85757 2017-03-14
1447701867 Katheryn Fredman Counselor 3830 E. Bellevue St., Tucson, AZ 85716 2016-10-20
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Competitor

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City TUCSON
Zip Code 85718

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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