person
Jessie Lee Russell
Mental Health Counselor in Palmer, Alaska
NPI 1972104735

Jessie Lee Russell is a Mental Health Counselor based in Palmer, AK and is specialized in Mental Health. Jessie Lee Russell practices in Palmer, AK. The NPI Number for Jessie Lee Russell is 1972104735 and holds a License No. (Alaska).

The current practice location address for Jessie Lee Russell is 550 S Alaska St Ste 202, Palmer, AK and can be reached out via phone at 907-746-6019 and via fax at 907-745-7565. You can also correspond with Jessie Lee Russell through the mailing address at 550 S ALASKA ST STE 202, PALMER, AK - 99645-6372 (mailing address contact number: 907-746-6019).

Location: 550 S Alaska St Ste 202, Palmer, AK, 99645-6372
person
Provider Profile Details
NPI Number
1972104735
Provider Name
Jessie Lee Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
550 S Alaska St Ste 202, Palmer, AK, 99645-6372
Phone Number
907-746-6019
Fax Number
907-745-7565
Provider Enumeration Date
11/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811042872 05 AK
institution
Provider Business Practice Location Address Details
Address
550 S Alaska St Ste 202
City
State
Zip
99645-6372
Phone Number
907-746-6019
Fax Number
907-745-7565
person
Provider Business Mailing Address Details
Address
550 S Alaska St Ste 202
City
State
Zip
99645-6372
Phone Number
907-746-6019
Fax Number
907-745-7565
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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