Individual
B ANNE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 380, TUCSON, AZ 85741-3828
(520) 219-8690
(520) 219-8694
Mailing address
1220 W EUREKA ST, TUCSON, AZ 85704-2400
(520) 325-6797
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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