Individual
MISS ABIGAYIL M RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC, NCC
Contact information
Practice address
104 W 9TH ST STE 205A, KANSAS CITY, MO 64105-1718
(816) 265-1033
Mailing address
106 W 14TH ST UNIT 1004, KANSAS CITY, MO 64105-2099
(785) 443-1724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024025134
MO
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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