Organization
TRUE BALANCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ANN RUSSELL-MARTIN MS LMFT PHD LP (OWNER)
(218) 831-1871
Entity
Organization
Contact information
Practice address
16016 233RD ST, LITTLE FALLS, MN 56345-5583
(320) 632-5524
(888) 991-2741
Mailing address
16016 233RD ST, LITTLE FALLS, MN 56345-5583
(320) 632-5524
(888) 991-2741
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/23/2007
Last updated
10/30/2024
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