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Individual

RUSSELL D GIRARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1000 STARR AVE, EAU CLAIRE, WI 54703-1821
(715) 858-4850
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3605125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31B54GI
BCBS MN
MN
01
33684
SECURITY HEALTH PLAN
WI
05
41001400
WI
01
6206017
MEDICA UBH UHC
MN
01
637871026349
PREFERRED ONE
MN
01
HP57327
HEALTH PARTNERS
MN
Enumeration date
04/28/2006
Last updated
09/19/2024
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