Individual
MR. RUSSELL POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
830 N 109TH ST, SUITE 26, WAUWATOSA, WI 53226-3754
(262) 278-0238
Mailing address
830 N 109TH ST, SUITE 26, WAUWATOSA, WI 53226-3754
(262) 278-0238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3634-125
WI
Other
Enumeration date
08/29/2006
Last updated
01/26/2015
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