Individual
KRISTEN MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2001 W ORANGE GROVE RD STE 114, TUCSON, AZ 85704-1140
(520) 300-0733
Mailing address
699 W MAGEE RD APT 18102, TUCSON, AZ 85704-4670
(520) 300-0733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
22665
AZ
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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