LARS RICHARD RUSSELL

SOLDOTNA, AK
NPI1104423466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-08
Last Update Date2020-10-08
Business Address
LARS RICHARD RUSSELL
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669-8280
Phone number: 907-262-6331
Mailing Address
LARS RICHARD RUSSELL
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669-8280
Phone number: 907-262-6331