Bethany Rusnak, LMFT
Marriage & Family Therapist in Tampa, FL. Individual provider (NPI-1).
NPI number1245515519
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1245515519
- Entity type
- Individual (NPI-1)
- Name
- Bethany Rusnak
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2011
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT3155 | FL | Yes |
Practice location
7821 N Dale Mabry HwyTampa, FL 33614-3275
Phone 813-443-4827
Mailing address
2702 W Ballast Point BlvdTampa, FL 33611-4002
Phone 850-814-8292
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