Terry Pat Russell
NPI #1245804475 in Centralia, Washington
Provider Information
- NPI Number
- 1245804475
- Entity Type
- Individual
- Name
- Terry Pat Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 13, 2021
- Last Updated
- Aug 18, 2022
Practice Location
- Address
- 2428 W REYNOLDS AVE
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-4554
- Phone
- (360) 330-9044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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