Individual
ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1726 S WASHINGTON ST STE 33A, GRAND FORKS, ND 58201-6395
(701) 746-4584
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2020-054A
ND
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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