Individual
MIKAYLA NICOLE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
360 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1214
(616) 805-3660
(616) 805-3631
Mailing address
2015 ORLOV DR, HUDSONVILLE, MI 49426-7514
(616) 560-4356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401225704
MI
101YP2500X
Professional Counselor
Primary
6401225704
MI
Other
Enumeration date
06/01/2023
Last updated
11/03/2025
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