Individual
NANCY JO RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 US HIGHWAY 95A S, STE I 901, FERNLEY, NV 89408-9261
(775) 575-7744
(775) 575-7769
Mailing address
1665 OLD HOT SPRINGS RD, STE 157, CARSON CITY, NV 89706-0782
(775) 687-5162
(775) 687-1214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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