person
Asa Nathanael Russell
Mental Health Counselor in Omaha, Nebraska
NPI 1104247147

Asa Nathanael Russell is a Mental Health Counselor based in Omaha, NE and is specialized in Mental Health. Asa Nathanael Russell practices in Omaha, NE. The NPI Number for Asa Nathanael Russell is 1104247147 and holds a License No. XL3998 (Nebraska).

The current practice location address for Asa Nathanael Russell is 4031 Burt St, Omaha, NE and can be reached out via phone at 402-800-5702.

Location: 4031 Burt St, Omaha, NE, 68131-1837
person
Provider Profile Details
NPI Number
1104247147
Provider Name
Asa Nathanael Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
4031 Burt St, Omaha, NE, 68131-1837
Phone Number
402-800-5702
Fax Number
Provider Enumeration Date
12/18/2013
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4031 Burt St
City
State
Zip
68131-1837
Phone Number
402-800-5702
Fax Number
person
Provider Business Mailing Address Details
Address
4031 Burt St
City
State
Zip
68131-1837
Phone Number
402-800-5702
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
XL3998 (Maine)
Definition
Definition to come...
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