Individual
HALEY RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
PO BOX 57, ZANESVILLE, IN 46799-0057
(317) 502-3741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004794A
IN
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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