RUSTY RUSSELL

ONALASKA, WI
NPI1174491237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  21004-130)
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
RUSTY RUSSELL
9532 E 16 FRONTAGE RD
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
Mailing Address
RUSTY RUSSELL
9532 E 16 FRONTAGE RD
ONALASKA, WI 54650-6739
Phone number: 608-783-0506
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