Russell Prause, MS, LAC - Counselor in Glendale, AZ

Russell Prause, MS, LAC is a Counselor - Mental Health based in Glendale, Arizona. Russell Prause is licensed to practice in Arizona (license number LAC-18437) and his current practice location is 17431 N 71st Dr Ste 103, Glendale, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 633-2246.

NPI number for Russell Prause is 1417560806 and his current mailing address is 17431 N 71st Dr Ste 103, Glendale, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417560806.

Contact Information

Russell Prause, MS, LAC
17431 N 71st Dr Ste 103,
Glendale, AZ 85308-8598
(602) 633-2246
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRussell Prause
GenderMale
SpecialityCounselor - Mental Health
Location17431 N 71st Dr Ste 103, Glendale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417560806
  • Provider Enumeration Date: 08/26/2020
  • Last Update Date: 08/26/2020

Medical Identifiers

Medical identifiers for Russell Prause such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417560806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LAC-18437 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Prause is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell Prause, MS, LAC
17431 N 71st Dr Ste 103,
Glendale, AZ 85308-8598

Ph: () -
Russell Prause, MS, LAC
17431 N 71st Dr Ste 103,
Glendale, AZ 85308-8598

Ph: (602) 633-2246

Reviews and Comments


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