LAURA RENAY RUSSELL

SOUTH JORDAN, UT
NPI1396377917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  10322316-6004)
Enumeration Date2020-02-11
Last Update Date2023-08-14
Business Address
Mrs. LAURA RENAY RUSSELL CMHC
5414 DAYBREAK PKWY C-4 #123
SOUTH JORDAN, UT 84009
Phone number: 385-355-0830
Mailing Address
Mrs. LAURA RENAY RUSSELL CMHC
5414 DAYBREAK PKWY C-4 #123
SOUTH JORDAN, UT 84009
Phone number: 385-355-0830