Gary Lee Russell, LPCC-S, LICDC
NPI #1003394180 in Mansfield, Ohio
Provider Information
- NPI Number
- 1003394180
- Entity Type
- Individual
- Name
- Gary Lee Russell, LPCC-S, LICDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC-S, LICDC
- Enumeration Date
- Aug 1, 2018
- Last Updated
- Feb 15, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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