Individual
MS. SHARON ALENE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 940-2371
(702) 940-2372
Mailing address
871 CORONADO CENTER DR, STE 200, HENDERSON, NV 89052-3977
(702) 940-2371
(702) 940-2372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP0161
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649574096
—
NV
Enumeration date
12/28/2010
Last updated
07/21/2022
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