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Russell Martens, LPC
Professional Counselor in Cheyenne, Wyoming
NPI 1972960342

Russell Martens is a Professional Counselor based in Cheyenne, WY and is specialized in Professional. Russell Martens practices in Cheyenne, WY and has the professional credentials of LPC. The NPI Number for Russell Martens is 1972960342 and holds a License No. LPC-1669 (Wyoming).

The current practice location address for Russell Martens is 4025 Rawlins St, Cheyenne, WY and can be reached out via phone at 307-426-4797.

Location: 4025 Rawlins St, Cheyenne, WY, 82009-3865
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Provider Profile Details
NPI Number
1972960342
Provider Name
Russell Martens
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4025 Rawlins St, Cheyenne, WY, 82009-3865
Phone Number
307-426-4797
Fax Number
Provider Enumeration Date
01/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-1669 01 WY WYOMING MENTAL HEALTH PROFESSIONS LICENSE
institution
Provider Business Practice Location Address Details
Address
4025 Rawlins St
City
State
Zip
82001-1900
Phone Number
307-426-4797
Fax Number
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Provider Business Mailing Address Details
Address
4025 Rawlins St
City
State
Zip
82001-1900
Phone Number
307-426-4797
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-1669 (Wyoming)
Definition
Definition to come...
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