Individual
SHAYLA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
OUTAGAMIE COUNTY HEALTH AND HUMAN SERVICES, 320 S. WALNUT ST., APPLETON, WI 54911
(920) 832-5270
(920) 832-5488
Mailing address
OUTAGAMIE COUNTY HEALTH AND HUMAN SERVICES, 320 S. WALNUT ST., APPLETON, WI 54911
(920) 832-5270
(920) 832-5488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2813-226
WI
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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