Individual
MRS. CHRISTINA MAE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
309 GARRETT ST, FREDERICKTOWN, MO 63645-1084
(573) 783-4104
(573) 783-4572
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 783-4572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
02/18/2026
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