person
Terry Pat Russell
Mental Health Counselor in Centralia, Washington
NPI 1245804475

Terry Pat Russell is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Terry Pat Russell practices in Centralia, WA. The NPI Number for Terry Pat Russell is 1245804475 and holds a License No. (Washington).

The current practice location address for Terry Pat Russell is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
person
Provider Profile Details
NPI Number
1245804475
Provider Name
Terry Pat Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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