Individual provider · Type 1 NPI

Diane Mary Russell, MS

Professional Counselor · Ozark, MO

NPI number 1003093055 Active

Practice location

4699 N 21st St
Ozark, MO 65721-7684

Call (417) 581-4849 Map

Fax (417) 581-4839

Mailing address

1406 S 17th Ave
Ozark, MO 65721-8435

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2008001153 (MO)

Professional Counselor: Definition to come...

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About NPI 1003093055

Diane Mary Russell, MS's National Provider Identifier is 1003093055, issued on Jan 22, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ozark, MO. The record was last updated on Jan 22, 2008.