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Gary Russell, LPCC-S, LICDC
NPI 1003394180 · on the registry since 2018 · sole proprietor
Practice
- Address
- 151 Marion Ave
Mansfield, OH 44903 - Phone
- (419) 774-9969
- Organisation at this address
- Family Life Counseling
Family Life Counseling & Psychiatric Services
Family Life Counseling & Psychiatric Services
Family Life Counseling & Psychiatric ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 130
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Also registered as
- Addiction (Substance Use Disorder) Counselor
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio