person
Diane Mary Russell, MS
Professional Counselor in Ozark, Missouri
NPI 1003093055

Diane Mary Russell is a Professional Counselor based in Ozark, MO and is specialized in Professional. Diane Mary Russell practices in Ozark, MO and has the professional credentials of MS. The NPI Number for Diane Mary Russell is 1003093055 and holds a License No. 2008001153 (Missouri).

The current practice location address for Diane Mary Russell is 4699 N 21St St, Ozark, MO and can be reached out via phone at 417-581-4849 and via fax at 417-581-4839.

Location: 4699 N 21St St, Ozark, MO, 65721-8435
person
Provider Profile Details
NPI Number
1003093055
Provider Name
Diane Mary Russell
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
4699 N 21St St, Ozark, MO, 65721-8435
Phone Number
417-581-4849
Fax Number
417-581-4839
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4699 N 21St St
City
State
Zip
65721-7684
Phone Number
417-581-4849
Fax Number
417-581-4839
person
Provider Business Mailing Address Details
Address
4699 N 21St St
City
State
Zip
65721-7684
Phone Number
417-581-4849
Fax Number
417-581-4839
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2008001153 (Missouri)
Definition
Definition to come...
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