Individual
MICHELLE DAWN RUSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2 W 42ND ST STE 3200, SCOTTSBLUFF, NE 69361-4669
(308) 635-3888
Mailing address
2 W 42ND ST STE 3200, SCOTTSBLUFF, NE 69361-4669
(308) 635-3888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2473
NE
Other
Enumeration date
12/03/2009
Last updated
03/26/2021
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