| Autumn Starr Russell, CACD1 | |
|
155 Ne Revere Ave, Bend, OR 97701-4147 | |
| (541) 617-4544 | |
| (541) 385-4755 |
| Full Name | Autumn Starr Russell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 155 Ne Revere Ave, Bend, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245698943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14-12-25 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Starr Russell, CACD1 155 Ne Revere Ave, Bend, OR 97701-4147 Ph: (541) 617-4544 | Autumn Starr Russell, CACD1 155 Ne Revere Ave, Bend, OR 97701-4147 Ph: (541) 617-4544 |
Mr. Joshua Seth Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 63360 Nw Britta St Ste 1, Bend, OR 97701 Phone: 541-318-4845 | |
Joanne White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-322-7565 | |
Jenny Marie Wolleat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1646 Ne Edgecliff Cir, Bend, OR 97701 Phone: 971-506-5366 | |
Cara Miller, Counselor Medicare: Medicare Enrolled Practice Location: 20370 Poe Sholes Dr, Bend, OR 97701 Phone: 541-318-1377 | |
Mrs. Stacy Ann Campbell, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Nw Park Pl, Bend, OR 97703 Phone: 208-577-1595 Fax: 541-640-5538 | |
Dr. Ryan F Reese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Nw Wall St, Bend, OR 97703 Phone: 541-241-6575 | |
Corey May, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 Ne Greenwood Ave Ste 215, Bend, OR 97701 Phone: -- |