Lachan Russell

NPI #1225504285 in Wilkinsburg, Pennsylvania

Provider Information

NPI Number: 1225504285
Entity Type: Individual
Name: Lachan Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 17, 2018
Last Updated: Oct 17, 2018

Practice Location

Address: 712 SOUTH AVE
City: Wilkinsburg
State: Pennsylvania
ZIP Code: 15221-2940
Phone: (412) 243-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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