MR. RYAN RUSS, LAC

Counselor - Professional

Active Individual
NPI: 1891911400

Practice Address

120 MEGHAN LN
Judsonia, AR 72081

Phone: (501) 729-4479

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes A0609056 (AR)

Frequently Asked Questions

NPI 1891911400 is the National Provider Identifier for MR. RYAN RUSS, LAC, a Counselor - Professional provider located in Judsonia, AR. This NPI was enumerated on April 18, 2007.
MR. RYAN RUSS, LAC practices at 120 MEGHAN LN, Judsonia, AR 72081.

Quick Facts

NPI
1891911400
Type
Individual
Enumerated
Apr 18, 2007
Last Updated
Jun 25, 2013

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