MR. Ryan Russ, LAC

NPI #1891911400 in Judsonia, Arkansas

Provider Information

NPI Number: 1891911400
Entity Type: Individual
Name: MR. Ryan Russ, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LAC
Enumeration Date: Apr 18, 2007
Last Updated: Jun 25, 2013

Practice Location

Address: 120 MEGHAN LN
City: Judsonia
State: Arkansas
ZIP Code: 72081
Phone: (501) 729-4479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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