Individual
SHANNON DAVID RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1645 PARKHILL DR STE 1, BILLINGS, MT 59102-3067
(406) 200-8518
(406) 794-0206
Mailing address
PO BOX 23321, BILLINGS, MT 59104-3321
(406) 200-8518
(406) 794-0206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63533
MT
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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