Individual
RUSSELL PRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC-S
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD STE 210, SURPRISE, AZ 85374-2703
(623) 888-4310
Mailing address
701 NW MCNELLY RD STE 9, BENTONVILLE, AR 72712-9160
(623) 888-4310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20565
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-20565
AZ
101YM0800X
Mental Health Counselor
P2501015
AR
Other
Enumeration date
08/26/2020
Last updated
01/20/2026
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