Gary Lee Russell, LPCC-S, LICDC is a mental health counselor in Mansfield, OH. Gary Lee Russell, LPCC-S, LICDC NPI is 1003394180. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
151 MARION AVE
MANSFIELD, OH
ZIP 44903-223
Phone: (419) 774-9969
The enumeration date for this NPI number is 8/1/2018 and was last updated on 2/15/2024.