Individual
RICHARD LIM RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSHS
Contact information
Practice address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576
Mailing address
3155 E PATRICK LN STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
03/17/2018
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