Individual
MRS. MARILYNN LOUISE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LMHC CERTIFIED SC
Contact information
Practice address
1313 NORTH CT STE 103, OTTUMWA, IA 52501-1916
(641) 777-1771
Mailing address
13792 85TH AVE, OTTUMWA, IA 52501-9079
(641) 777-1771
(641) 683-1149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00453
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IP541044
—
IA
Enumeration date
12/11/2006
Last updated
11/10/2025
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