Individual
RUSSELL RESNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1008 MADISON ST NE, ALBUQUERQUE, NM 87110-5817
(505) 440-2265
Mailing address
1008 MADISON ST NE, ALBUQUERQUE, NM 87110-5817
(505) 440-2265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0738
NM
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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