Individual
MR. RUSSELL CURTIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3745 CUERVO CT NW, ALBUQUERQUE, NM 87107-2466
(973) 454-5869
Mailing address
3745 CUERVO CT NW, ALBUQUERQUE, NM 87107-2466
(973) 454-5869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2022-0885
NM
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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