person
Autumn Starr Russell, CACD1
Addiction (Substance Use Disorder) Counselor in Bend, Oregon
NPI 1245698943

Autumn Starr Russell is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Autumn Starr Russell practices in Bend, OR and has the professional credentials of CACD1. The NPI Number for Autumn Starr Russell is 1245698943 and holds a License No. 14-12-25 (Oregon).

The current practice location address for Autumn Starr Russell is 155 Ne Revere Ave, Bend, OR and can be reached out via phone at 541-617-4544 and via fax at 541-385-4755.

Location: 155 Ne Revere Ave, Bend, OR, 97701-4147
person
Provider Profile Details
NPI Number
1245698943
Provider Name
Autumn Starr Russell
Credential
CACD1
Provider Entity Type
Individual
Gender
Female
Address
155 Ne Revere Ave, Bend, OR, 97701-4147
Phone Number
541-617-4544
Fax Number
541-385-4755
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 Ne Revere Ave
City
State
Zip
97701-4147
Phone Number
541-617-4544
Fax Number
541-385-4755
person
Provider Business Mailing Address Details
Address
155 Ne Revere Ave
City
State
Zip
97701-4147
Phone Number
541-617-4544
Fax Number
541-385-4755
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14-12-25 (Oregon)
Definition
Definition to come...
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