Individual
DOROTHY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
323 CENTRAL AVE N STE 203, VALLEY CITY, ND 58072-2915
(701) 490-3281
(701) 490-3283
Mailing address
323 CENTRAL AVE N STE 203, VALLEY CITY, ND 58072-2915
(701) 490-3281
(701) 490-3283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
705-12-1-11
ND
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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