Jessie Lee Russell

NPI #1972104735 in Palmer, Alaska

Provider Information

NPI Number: 1972104735
Entity Type: Individual
Name: Jessie Lee Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 6, 2020
Last Updated: Nov 6, 2020

Practice Location

Address: 550 S ALASKA ST STE 202
City: Palmer
State: Alaska
ZIP Code: 99645-6372
Phone: (907) 746-6019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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