Diane Mary Russell
Professional Counselor
4699 N 21st St
Ozark
, Missouri 65721-7684
Diane Mary Russell
Professional Counselor
4699 N 21st St
Ozark
, Missouri 65721-7684
(417) 581-4839
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Diane Mary Russell
- 1406 S 17th Ave
- Ozark, MO
- Zip : 65721-8435
- Fax : (417) 581-4839
- Phone : (471) 581-4849
Second Address
- Diane Mary Russell
- 4699 N 21st St
- Ozark, MO
- Zip : 65721-7684
- Fax : (417) 581-4839
- Phone : (417) 581-4849
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 2008001153 | MO |
National Provider Identifier
| NPI | 1003093055 |
|---|---|
| Provider Name | Diane Mary Russell |
| First Address | Ozark, MO 65721-8435 |
| Second Address | Ozark, MO 65721-7684 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2008 |
| Last Update Date | 22/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.