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Mrs. Susan C Russell
Mental Health Counselor in Springfield, Oregon
NPI 1477717577

Susan C Russell is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Susan C Russell practices in Springfield, OR. The NPI Number for Susan C Russell is 1477717577 and holds a License No. (Oregon).

The current practice location address for Susan C Russell is 175 W B St Ste I, Springfield, OR and can be reached out via phone at 541-988-1025 and via fax at 541-844-1051.

Location: 175 W B St Ste I, Springfield, OR, 97477-0167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477717577
Provider Name
Susan C Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
175 W B St Ste I, Springfield, OR, 97477-0167
Phone Number
541-988-1025
Fax Number
541-844-1051
Provider Enumeration Date
07/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
241382 05 OR
institution
Provider Business Practice Location Address Details
Address
175 W B St Ste I
City
Springfield
State
Oregon
Zip
97477-4575
Phone Number
541-988-1025
Fax Number
541-844-1051
person
Provider Business Mailing Address Details
Address
175 W B St Ste I
City
Springfield
State
Oregon
Zip
97477-4575
Phone Number
541-988-1025
Fax Number
541-844-1051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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