| Karen S Russell | |
|
515 N D St Fremont NE 68025-5051 | |
| (402) 459-1977 | |
| (402) 512-9050 |
| Full Name | Karen S Russell |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 515 N D St, Fremont, Nebraska |
| Authorized Official Name and Position | Karen S Russell (OWNER) |
| Authorized Official Contact | 4024591977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen S Russell 515 N D St Fremont NE 68025-5051 Ph: (402) 459-1977 | Karen S Russell 515 N D St Fremont NE 68025-5051 Ph: (402) 459-1977 |
| NPI Number | 1922581289 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922581289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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