Russell Martens, LPC

NPI #1972960342 in Cheyenne, Wyoming

Provider Information

NPI Number: 1972960342
Entity Type: Individual
Name: Russell Martens, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 15, 2016
Last Updated: Aug 31, 2020

Practice Location

Address: 4025 RAWLINS ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-1900
Phone: (307) 426-4797

Specialties & Taxonomy Codes

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

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