Organization
KAREN S RUSSELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S RUSSELL PLMHP (OWNER)
(402) 459-1977
Entity
Organization
Contact information
Practice address
515 N D ST, FREMONT, NE 68025-5051
(402) 459-1977
(402) 512-9050
Mailing address
515 N D ST, FREMONT, NE 68025-5051
(402) 459-1977
(402) 512-9050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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