Individual
TERRELL MONTAE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 WYOMING ST, CHARLESTON, WV 25302-1813
(681) 945-4255
Mailing address
607 WYOMING ST, CHARLESTON, WV 25302-1813
(681) 945-4255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
Primary
AP00946220
WV
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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