Jennifer M Russell, LMFT
NPI #1134276173 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1134276173
- Entity Type
- Individual
- Name
- Jennifer M Russell, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2249 OAK GLEN DR
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-9631
- Phone
- (651) 492-4834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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