Individual provider · Type 1 NPI

Jonathan Bo Russell, MA

Counselor · Oakland, CA

NPI number 1083265805 Active

Practice location

390 40th St
Oakland, CA 94609-2633

Call (714) 883-5762 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1083265805

Jonathan Bo Russell, MA's National Provider Identifier is 1083265805, issued on Sep 23, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oakland, CA. The record was last updated on Sep 23, 2019.