MR. Thomas A. Russell, M.A., M.ED., PCCS

NPI #1376727446 in Mansfield, Ohio

Provider Information

NPI Number
1376727446
Entity Type
Individual
Name
MR. Thomas A. Russell, M.A., M.ED., PCCS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
M.A., M.ED., PCCS
Enumeration Date
Dec 24, 2007
Last Updated
Dec 24, 2007

Practice Location

Address
788 LEXINGTON AVENUE
Address 2
HERITAGE CHRISTIAN COUNSELING MINISTRIES
State
Ohio
ZIP Code
44907
Phone
(419) 756-2828

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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