Ronald Russell, QBHP
NPI #1457508855 in Monticello, Arkansas
Provider Information
- NPI Number
- 1457508855
- Entity Type
- Individual
- Name
- Ronald Russell, QBHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QBHP
- Enumeration Date
- Aug 27, 2008
- Last Updated
- Apr 3, 2019
Practice Location
- Address
- 139C E JACKSON AVE
- City
- Monticello
- State
- Arkansas
- ZIP Code
- 71655-4933
- Phone
- (501) 262-2544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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