| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEFFREY JOSEPH RUSTIGE | 1336805316 | 2024-05-12 |
Jeffrey Joseph Rustige is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336805316. Registration indicates Jeffrey Joseph Rustige is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Jeffrey Joseph Rustige MSW, LCSW |
| Practice Office Address | 103 STRAUSS DR PARK HILLS, MO US |
| Practice Office Telephone | 5733279841 |
| Practice Office Fax | 5733279843 |
| Mailing Address | 10564 THOMAS CHAPEL RD CALEDONIA, MO 636319438 US |
| Business Telephone | 5733156636 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 2024012651
MO |