Christina Russell, BS, MA STUDENT

NPI #1750921938 in Peru, Indiana

Provider Information

NPI Number: 1750921938
Entity Type: Individual
Name: Christina Russell, BS, MA STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS, MA STUDENT
Enumeration Date: Jan 15, 2020
Last Updated: Jan 15, 2020

Practice Location

Address: 1000 N BROADWAY STE A
City: Peru
State: Indiana
ZIP Code: 46970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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