Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wilburn Russell Jr., LPC

Individual provider Professional Counselor · NPI 1336733971

Wilburn Russell Jr., LPC is a Professional Counselor in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

636 W Republic Rd Ste G100
Springfield, MO 65807-5811
Phone: (417) 862-8282
Fax: (417) 862-8805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 001677 (MO)

Record details

NPI number1336733971
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

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