person
Mrs. Laura Renay Russell, CMHC
Mental Health Counselor in South Jordan, Utah
NPI 1396377917

Laura Renay Russell is a Mental Health Counselor based in South Jordan, UT and is specialized in Mental Health. Laura Renay Russell practices in South Jordan, UT and has the professional credentials of CMHC. The NPI Number for Laura Renay Russell is 1396377917 and holds a License No. 10322316-6004 (Utah).

The current practice location address for Laura Renay Russell is 5414 Daybreak Pkwy, South Jordan, UT and can be reached out via phone at 385-355-0830 and via fax at 385-308-7477. You can also correspond with Laura Renay Russell through the mailing address at 5414 DAYBREAK PKWY, SOUTH JORDAN, UT - 84009 (mailing address contact number: 385-355-0830).

Location: 5414 Daybreak Pkwy, South Jordan, UT, 84009
person
Provider Profile Details
NPI Number
1396377917
Provider Name
Laura Renay Russell
Credential
CMHC
Provider Entity Type
Individual
Gender
Female
Address
5414 Daybreak Pkwy, South Jordan, UT, 84009
Phone Number
385-355-0830
Fax Number
385-308-7477
Provider Enumeration Date
02/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5414 Daybreak Pkwy
City
State
Zip
84009
Phone Number
385-355-0830
Fax Number
385-308-7477
person
Provider Business Mailing Address Details
Address
5414 Daybreak Pkwy
City
State
Zip
84009
Phone Number
385-355-0830
Fax Number
385-308-7477
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10322316-6004 (Utah)
Definition
Definition to come...
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