Individual
MRS. AMY CHRISTINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
399 E 10TH AVE, EUGENE, OR 97401-3380
(817) 939-9576
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 868-2004
(541) 868-2003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5399
OR
Other
Enumeration date
04/13/2020
Last updated
05/06/2022
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