Individual provider · Type 1 NPI

Wilburn Russell Jr., LPC

Professional Counselor · Springfield, MO

NPI number 1336733971 Active

Practice location

636 W Republic Rd Ste G100
Springfield, MO 65807-5811

Call (417) 862-8282 Map

Fax (417) 862-8805

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X001677 (MO)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1336733971

Wilburn Russell Jr., LPC's National Provider Identifier is 1336733971, issued on Feb 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Feb 24, 2021.