Lars Richard Russell

NPI #1104423466 in Soldotna, Alaska

Provider Information

NPI Number
1104423466
Entity Type
Individual
Name
Lars Richard Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 8, 2020
Last Updated
Oct 8, 2020

Practice Location

Address
43335 K BEACH RD STE 36
State
Alaska
ZIP Code
99669-8280
Phone
(907) 262-6331

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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