Individual
MS. TERRI RENEE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
25 S EWING ST, 424, HELENA, MT 59601-5938
(406) 431-1232
Mailing address
25 S EWING ST, 424, HELENA, MT 59601-5938
(406) 431-1232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1231
MT
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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