person
Erica Elizabeth Russell, LPC
Professional Counselor in Grand Rapids, Michigan
NPI 1639627920

Erica Elizabeth Russell is a Professional Counselor based in Kentwood, MI and is specialized in Professional. Erica Elizabeth Russell practices in Grand Rapids, MI and has the professional credentials of LPC. The NPI Number for Erica Elizabeth Russell is 1639627920 and holds a License No. 6401015661 (Michigan).

The current practice location address for Erica Elizabeth Russell is 2305 E Paris Ave Se, Grand Rapids, MI and can be reached out via phone at 616-481-3784.

Location: 2305 E Paris Ave Se, Grand Rapids, MI, 49508-6519
person
Provider Profile Details
NPI Number
1639627920
Provider Name
Erica Elizabeth Russell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2305 E Paris Ave Se, Grand Rapids, MI, 49508-6519
Phone Number
616-481-3784
Fax Number
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2305 E Paris Ave Se
City
State
Zip
49546-2426
Phone Number
616-481-3784
Fax Number
person
Provider Business Mailing Address Details
Address
2305 E Paris Ave Se
City
State
Zip
49546-2426
Phone Number
616-481-3784
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401015661 (Michigan)
Definition
Definition to come...
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