Individual
ERIKA LYNN RUSSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
2632 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1004
(314) 772-0809
Mailing address
512 ECHO HILL CT, BALLWIN, MO 63021-6259
(314) 772-0809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1999138387
MO
Other
Enumeration date
11/07/2005
Last updated
07/09/2007
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