Individual
RUSSELL FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
2292 W MAGEE RD STE 130, TUCSON, AZ 85742-4308
(978) 790-9890
Mailing address
2292 W MAGEE RD STE 130, TUCSON, AZ 85742-4308
(978) 790-9890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13948
AZ
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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