Individual
MIA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
8704 NW 106TH ST, OKLAHOMA CITY, OK 73162-1210
(318) 237-5066
(405) 328-6887
Mailing address
8704 NW 106TH ST, OKLAHOMA CITY, OK 73162-1210
(318) 237-5066
(405) 328-6887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
17796
NC
101YP2500X
Professional Counselor
Primary
5196
OK
Other
Enumeration date
03/15/2013
Last updated
12/26/2025
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