Individual
LAURA RUSSELL-REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 233-7266
(612) 728-5301
Mailing address
11607 88TH AVE N, MAPLE GROVE, MN 55369-4577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
08/08/2022
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