SUSAN M. RUSSELL

BANGOR, ME
NPI1487793907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  CC 2971)
Enumeration Date2007-02-05
Last Update Date2009-06-01
Business Address
-- SUSAN M. RUSSELL LCPC
319 UNION ST
BANGOR, ME 04401-4607
Phone number: 207-942-2199
Mailing Address
-- SUSAN M. RUSSELL LCPC
34 BEECHWOOD AVE
OLD TOWN, ME 04468-9749
Phone number: 207-827-8977